2018 Cyto

The smears show mostly lymphoid cells in the background of blood.
Fragments of parenchymal
tissue are seen however there are lot of air drying and crushing artifacts obscuring the detailed
morphology. Focally preserved histiocytic collection is seen.
Smears showing Air Drying and Crushing Artifacts
Notes : Opinion is limited due to artifacts. Focally histiocytic collection is seen.

Repeat FNAC with appropriate fixation/ tissue biopsy is suggested for definite diagnosis.
Note : Differentials include nodular hyperplasia, follicular adenoma and carcinoma.
Excision is suggested.
FLUID CYTOLOGY REPORT
Specimen: Fluid.
(About 0.5 ml of reddish fluid received)
Clinical Notes: CT scan post craniotomy shows scalp hematoma and persistent lateral and 3rd
ventricle bleed.
Microscopy: The smears are hypocellular with few blood formed elements in thick
protienaceous background.
Opinion: No Malignant Cell Seen
Note : Please correlate with clinical findings and site of aspiration
Reported by Dr Asna Haroon Khan

(Al Rehman Medical Laboratory)
Patient’s Name: Kainat

Age/Sex: 18Y/FM
Lab No : CYTO – 02/18
Date: 03-01-2018
Reference: City R Lab
FNA CYTOLOGY REPORT
Specimen: FNAC swelling neck.

(Received stained slides x 04)
Clinical Details: Swelling posterior cervical region since childhood. H/O increase in size. No
h/o fever, pain or weightloss. Soft to firm in consistency, measuring 5x4cm.
Microscopy: The smears show many squamous epithelial cells and some keratin flakes.
Opinion: Suggestive of Epidermal Inclusion Cyst

Negative for Tuberculosis
Negative for Malignancy
Note : Please correlate with clinical findings.
Report by Dr Asna Haroon Khan

Patient’s Name: Fouzia

Age/Sex: ?Y/FM
Lab No : CYTO -003/18
Date: 04-01-2018
Reference: Beacon Lab
PAP SMEAR
CYTOLOGICAL FINDINGS
Pap Smear.
(Received 02 unstained smears on glass slides)
None available.
The smear is adequate for reporting.
Junctional zone is represented.
Endocervical epithelial fragments are also present
No epithelial/glandular cell abnormality is seen.
Inflammation is present.
Shift of normal vaginal flora is seen.
No malignant cell is seen
Within Normal Limits
Inflammatory Pattern
Shift of Normal Vaginal Flora
No Malignant Cell Seen
Note : This is a limited opinion due to absence of junctional zone/ endocervical
representation.

Patient’s Name: F/O M Kazim

Age/Sex: 71Y/M
Lab No : CYTO-04/18
Date: 05-01-2018
Reference: FLab
URINE CYTOLOGY REPORT
Specimen: About 10 ml of clear urine received .

Cytospin smears prepared.
Clinical Notes: Urine for cytology.

Microscopy: The smears show mostly inflammatory cells, predominantly neutrophils mixed
with few lymphocytes and RBC. Occasional urothelial cells are also seen.
Opinion: Acute Inflammation ++

Negative for High Grade Urothelial Carcinoma

Patient’s Name: Ayesha

Age/Sex: 14Y/FM
Date: 08-01-2018
Reference: Medpath Lab
FNA CYTOLOGY REPORT

(Prepared smears on glass slides x 3)
Clinical Details: Swelling posterior cervical region since 01yr. H/O increase in size. No h/o
fever, pain. No weightloss. Soft to firm in consistency, measuring 5x4cm. 4.5cc of pus
aspirated.
Microscopy: The smears show sheets of viable and degenerated, necrotic neutrophils.
Opinion: Consistent with Abscess -- Neck

Note : Please correlate with clinical/ microbial culture findings.

Patient’s Name: Abdul Karim

Age/Sex: ?Y/M
Date: 08-01-2018
Reference: Self
Specimen: Pleural Fluid.

(About 10 ml of reddish fluid received)
Clinical Notes: None available
Microscopy: The smears are hypocellular with blood in thick protienaceous background.
Note : Please correlate with clinical findings nd site of aspiration

Patient’s Name: Taseena
Age/Sex: 21Y/FM
Date: 09-01-2018
Reference: Biotech Lab
FNA CYTOLOGY REPORT
Specimen: FNAC right Breast lump.

(Prepared 03 smears)
Clinical Notes: Bilateral breast lumps in noticed 5-6yrs back. Mobile nontender, firm and
measure variably from 01 to 02cm. Largest on right medial side was sampled.
Microscopy: The smears are hypocellular. Branched cohesive ductal epithelial fragments are
present in a background of blood with few scattered bare nuclei. No evidence of maliganacy is
seen.
Opinion: Fibroadenoma --- Right Breast

Reporting Category – C2 (Benign)
Note : Please note that the largest nodule was sampled.

Patient’s Name: M Haseeb
Age/Sex: 20Y/M
Lab No : CYTO –008/18
Date: 09-01-2018
Reference: City Research Lab
FNA CYTOLOGY REPORT
Specimen: FNAC left submandibular lymph node.

(Received unstained slides x 4)
Clinical Details: H/O nodular swellings in left submandibular area, 02x1.5cm, mobile,
nonadherant and tender. Noticed 04yrs ago. H/O fever.
Microscopy: The smears show mostly polymorphous lymphoid cells and tingible body
macrophages. There are lot of crushing artifacts. The background contains blood. No atypical
cells are seen.
Opinion: Reactive Lymphoid Hyperplasia -- Left Submandibular Node


The smears show polymorphous lymphoid cells and and neutrophils. There are lot of crushed
epitheloid histiocyte aggregates., vaguely forming granulomata. Focally in the background
necrotic material is identified mixed with blood. No atypical cells are seen.
Chronic Caseating Granulomatous Inflammation

Note :This lesion is most likely due to Tuberculosis, please correlate clinically and with
relevant laboratory investigations.
Patient’s Name: Muzammal
Age/Sex: 15Y/FM
Lab No : CYTO- 009/18
Date: 09-01-2018
Reference: Dr Zahida Qasim
FNA CYTOLOGY REPORT
Specimen: FNAC lump left Breast.

Clinical Notes: Lump in left breast for 01yr. UOQ , 3.5x04cm, mobile , soft and nonadherant to
surrounding structures.
Microscopy: The smears are hypocellular showing occasional stromal fragments and no ductal
epithelial cells. The background comprises blood. No atypicalcells are seen.
Opinion: Inadequate for Reporting

Reporting Category – C1
Note : The smears are inadequate for opinion , repeat FNAC/ tissue biopsy is suggested if
clinically indicated.

Patient’s Name: Mohammad Riaz

Age/Sex: 35Y/M
Lab No : CYTO - 010/18
Date: 12-01-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen: FNAC of swelling at Right angle of jaw.

(Prepared/received smears on glass slides x 3)
Clinical Notes: Hard, mobile,1.5cm swelling in right angle of jaw (parotid) for last 01month.
Now increasing in size and no h/o pain on chewing. No h/o fever or weightloss.
Microscopy: The smears are moderately cellular showing cohesive nests of epithelial cells and
numerous chunks of stromal myxoid material. The background contains many myoepithelial
cells.
Opinion : Most suggestive of Benign Mixed Salivary Gland Tumor

(Pleomorphic Adenoma) --- Right Side
Reported by Dr. Asna Haroon Khan

Name: Afraz Ahmed

Age/Sex: 20Y/M
Lab No. CYTO- 011/18
Date: 12-01-2018
Reference: Advance Diagnostic Lab
FNA CYTOLOGY REPORT
Specimen: FNAC posterior cervical nodes.

(Received 05 unstained glass slides)
Clinical Details: Multiple firm, nodes in posterior cervical region, measuring 2x3cm. No h/o
fever or other associated symptoms.
Microscopy: The smears show sheets of polymorphonuclear leukocytes and few lymphoid
cells clumps. The background comprises necrotic material.
Opinion: Acute Lymphadenitis

Consistent with Abscess Neck
Negative for Tuberculosis/Malignancy
Note : Repeat FNAC / Biopsy is suggested if nodes persist after treatment.

Patient’s Name: Raz Bibi

Age/Sex: ?Y/FM
Lab No : CYTO-012/18
Date: 12-01-2018
Reference: Advance Diagnostic Lab
Specimen: Fluid from cyst for cytology.

(About 04 ml of clear yellow fluid received)
Clinical Notes: Emergency laparotomy for ectopic tubal pregnancy.
Microscopy: The smears are hypocellular with occasional lymphocyte. The background is
proteinaceous.
Note : Please also see histopathology report # S – 031/18 of the same patient.

Patient’s Name: Tahira Shaheen

Age/Sex: 42Y/FM
Date: 15-01-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen: FNAC of swelling at Left angle of jaw.

(Prepared Stained slides x 3)
Clinical Notes: Hard, mobile,1.5cm swelling in left angle of jaw (parotid) for last 4-5yrs, now
increasing in size for last 06months. Increase in size and no h/o pain on chewing with facial
discomfort. No h/o fever or weightloss.
numerous chunks of stromal myxoid material. The background contains many myoepithelial
cells.
Opinion : Most suggestive of Benign Mixed Salivary Gland Tumor

(Pleomorphic Adenoma) --- Left Parotid Gland
Patient’s Name: Muzzamal

Age/Sex: 18Y/FM
Date: 15-01-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left Breast lump.

(Received 08 smears on glass slides)
Clinical Notes: Left breast lump noticed 01yr back. Mobile nontender, firm and measures
3.5x04cm. Largest on right medial side was sampled.
Microscopy: The smears are hypocellular. Branched cohesive ductal epithelial fragments are
seen.
Opinion: Suggestive of Fibroadenoma --- Left Breast


Patient’s Name: Yasein
Age/Sex: 35Y/FM
Date: 17-01-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump noticed 02months back. Mobile nontender, soft and
measures 5.5x05cm in UIQ. No h/o fever or cough. Lactating mother.
Microscopy: The smears are moderately cellular. Branched cohesive, monolayered, ductal
epithelial sheets are present in a background of blood withscattered bare nuclei. Stromal
fragments are also seen. No evidence of maliganacy is seen.
Opinion: Suggestive of Fibroadenoma --- Right Breast


Patient’s Name: Rehmat
Age/Sex: 55Y/FM
Date: 17-01-2018
FNA CYTOLOGY REPORT
Specimen: FNAC lump right Breast.

Clinical Notes: H/o soft, large lump in right breast in UOQ for last 04months. Nodule measures
5x6.5cm. Right axilla is not involved. No h/o fever, cough, weight loss etc.
Microscopy: The smears are hypercellular showing three dimensional epithelial fragments.
These exhibit dispolarity and hyperchromasia and large atypical nuclei. Atypical epithelial cells
with high N/C ratio are also found in the background of blood.
Opinion: Malignant Breast Nodule


Patient’s Name: Tasleem Akhter

Age/Sex: 45Y/FM
Date: 22-01-2018
Reference: Modern City Lab
PAP SMEAR
Source of specimen: Pap Smear.

(Received 01x broken unstained slide)
Clinical Details: None available.
Microscopy: The smear is scanty for reporting.

Junctional zone is not represented.
No malignant cell is seen.
Opinion: Within Normal Limits
Note : This is a limited opinion due to absence of junctional zone/ endocervical

representation.

Patient’s Name: Zakia

Age/Sex: 42Y/FM
Date: 23-01-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left supraclavicular lymph node.

Clinical Details: H/O 03 nodular swellings in left supraclavicular area, mobile, nonadherant and
tender. Noticed 01month ago.No H/O fever.
Microscopy: The smears show mostly polymorphous lymphoid cells. There are lot of crushing
artifacts. The background contains blood and few adipose tissue fragments. No atypical cells or
granulomata are seen.
Opinion: Reactive Lymphoid Hyperplasia -- Left SupraclavicularNode


Patient’s Name: Najma

Age/Sex: 47Y/FM
Date: 23-01-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in right lobe of Thyroid.

(Prepared 04 smears on glass slides).
Clinical Notes: Solitary thyroid nodule in right lobe for last 01yr. Feels dyspnoic but no
associated toxic symptoms. Cold nodule on scan.
The smears are moderately cellular. Sheets of follicular cells are present.Few hemosiderin laden
macrophages are also seen in the background of blood mixed with thin colloid.
Suggestive of Adenomatous Colloid Nodule
Bethesda Reporting Category II (Benign)

Patient’s Name: Zarina Bibi

Age/Sex: 45Y/FM
Date: 23-01-2018
FNA CYTOLOGY REPORT
Specimen: FNAC Neck swelling.

Clinical Notes: Swelling infront of neck, 6x3cm, since birth? Now increasing in size. Moves
with swallowing.
Microscopy: The smears comprise blood only. No follicular or any other epithelial cells are
seen.
Opinion: Hemorrhagic Aspirate ----- Neck

Note : The smears are inadequate for opinion , repeat FNAC is suggested if clinically
indicated.

Patient’s Name: Khan Khewa Bibi

Age/Sex: ?Y/FM
Date: 24-01-2018
Reference: Rescue Lab
PAP SMEAR

(Received 03 unstained slides)
Microscopy: The smear is adequate for reporting.

Background is hemorrhagic.

Patient’s Name: Umar

Age/Sex: 02Y/M
Date: 24-01-2018
Reference: Accurate Lab(28964)
LD BODY CYTOLOGY REPORT
Specimen: Slit skin smear for cytology.

(Received unstained broken slides x02)
Clinical Details: Site NOS.
Microscopy: The smears show blood with polymorphonuclear leukocytes and few lymphoid
cells clumps. No LD bodies are seen. The background comprises blood.
Opinion: Negative for LD Bodies

Patient’s Name: Faisal
Age/Sex: ?Y/M
Date: 25-01-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC swelling anterior chest.

Clinical Details: Swelling on anterior chest wall since 01yr. H/O increase in size for last 01wk
after scratching. No h/o fever, weightloss. Firm, red and inflamed measuring 2.5cm. Pus
aspirated. Inflamed Sebaceous cyst?
Microscopy: The smears show sheets of viable and degenerated neutrophils. There are
admixed many mature squames.
Opinion: Consistent with Inflamed Epidermal Inclusion Cyst


Patient’s Name: Anas
Age/Sex: 01Y/M
Date: 29-01-2018
Specimen: FNAC left thigh lump.

(Received thick fluid x01ml)
Clinical Notes: Swelling in left thigh, progressively increasing in size. Fluid? sampled.
Microscopy:The smear is moderately cellular with cohesive tiny fragments of mature looking
adipose tissue. The background contains lipoid droplets.
Opinion: Suggestive of Lipoma --- Left Thigh

Patient’s Name: Intizar

Age/Sex: 18Y/M
Date: 29-01-2018
Reference: RDC
Specimen: Pleural fluid.

(About 08 ml of reddish fluid received with clot formation)
Clinical Notes: None available.
Microscopy: The smears are comprise blood and its formed elements. No atypical cell is seen.
Opinion: Hemorrhagic Aspirate
Note : Please correlate with clinical and radiological findings.

Patient’s Name: Rashida Bibi

Age/Sex: ?Y/FM
Date: 29-01-2018
FNAC CYTOLOGY REPORT
Specimen: FNAC lymphnode.

(Received unstained slide x01)
Clinical Notes: Site NOS.
Microscopy: The smears are hypocellular showing mostly blood formed elements. No
epithelial/lymphoid cells are seen.
Opinion: Hemorrhagic Aspirate ----- Site NOS
Inadequate for Reporting
Note : Repeat FNAC may be considered if clinically suspicious.

Patient’s Name: Shahnaz

Age/Sex: ?Y/FM
Date: 30-01-2018
Reference: RDC
PAP SMEAR

(Received 02x unstained slides)

Squamous epithelial component is scanty.
Moderate Inflammation is present.
Opinion: Within Normal Limits(Inflammatory Pattern)
Note : This is a limited opinion due to scanty squamous representation.

Patient’s Name: F/O Sajjad Hussain

Age/Sex: 77Y/M
Date: 31-01-2018
Reference: New Excel Lab Mzd

(About 12 ml of yellowish fluid received)
Clinical Notes: COPD. Chest pain, cough and SOB.
Microscopy: The smears are moderately cellular with inflammatory cells and mesothelial cells
showing reactive changes. The background is clear.
Note : Please correlate with clinical findings .

Patient’s Name: M Nadeem
Age/Sex: 45Y/M
Date: 31-01-2018
Specimen: Scrotal fluid.

(About 08 ml of blood containing fluid received)
Microscopy: The smears are hypercellular with mostly lymphocytes and RBC. Mature and
larger forms of the former are seen in the protienaceous background.
Opinion: Lymphocytosis
Suspicious for Atypia
Note : Please correlate with clinical findings. Immunohistochemistry can be done on cell
block for definite diagnosis, if requested separately. and with site of aspiration.

Patient’s Name: Amina D/O Farooq
Age/Sex: 24Y/FM
Date: 01-02-2018
FNA CYTOLOGY REPORT

Clinical Notes: Breast lump in ILQ on rightside, noticed 08months back. Mobile nontender,
firm and measures 02cm.
Microscopy: The smears are hypercellular. Branched cohesive ductal epithelial fragments are
present in a background of blood with many scattered bare nuclei. No evidence of malignacy is
seen.


Patient’s Name: Shazia

Age/Sex: 43Y/FM
Date: 07-02-2018
PAP SMEAR



Patient’s Name: Amrooda Jan

Age/Sex: 67Y/FM
Date: 08-02-2018
FNA CYTOLOGY REPORT

Specimen: FNAC of nodule in Thyroid.
Clinical Notes: Multinodular thyroid in right & left lobes for last 06yr. No associated toxic
symptoms. Measures 3x4cm.
Microscopy: The smears are moderately cellular. Tight clusters of follicular cells are
present.Few hemosiderin laden macrophages are also seen in the background of blood mixed
with thin colloid.
Suggestive of Adenomatous Colloid Nodule ----- Thyroid

Bethesda reporting Category II (Benign)

Patient’s Name: Mrs Touqeer

Age/Sex: ?Y/FM
Date: 09-02-2018
Reference: Jinnah Lab
PAP SMEAR

(Received 01x unstained slide)

Junctional zone is NOT represented.
Mild Inflammation is identified.
Note : This is a limited opinion due to absence of junctional zone representation.

Patient’s Name: Zafar Iqbal

Age/Sex: 80Y/M
Date: 12-02-2018
Reference: UDC
SPUTUM CYTOLOGY REPORT
Specimen: About 02 ml of thick fluid received .
Clinical Notes: Sputum for cytology.
Microscopy: The smears are moderately cellular showing mature squames and
polymorphonuclear cells. Mucoid material is present in the back ground. No atypical cell is
seen.
Opinion: Negative for Malignancy

Note : No Columnar cells or carbon laden histiocytes are seen. This may represent
Saliva only. Please correlate.
Patient’s Name: Anum

Age/Sex: ?Y/FM
Date: 12-02-2018
PAP SMEAR


Note : This is a limited opinion due to absence of junctional zone representation

.
Patient’s Name: Fareeha

Age/Sex: ?Y/FM
Date: 15-02-2018
PAP SMEAR


Junctional zone is Not represented.
Squamous epithelial component is scanty.
Opinion: Within Normal Limits(Inflammatory Pattern)
Note : This is a limited opinion due to scanty squamous representation.

Please repeat smear 2months after completion of treatment.

Patient’s Name: Azra
Age/Sex: 20Y/FM
Date: 16-02-2018
Specimen: Ascitic fluid for cytology.

(About 07 ml of clear fluid received)
Clinical Notes: Diagnostic tap done.
Microscopy: The smears are hypocellular with few lymphocyte. Occasional mesothelial cell is
seen in clear background.

Patient’s Name: Naseem
Age/Sex: 26Y/FM
Date: 16-02-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC right neck swelling.
Microscopy: The smears are moderately cellular. The background of blood shows quite afew
cells with drying artifacts. Morphology is not discernible
Opinion: Smears showing Drying Artifacts --- Neck
Note : The smears are inappropriate for reporting, repeat FNAC is suggested. Please
immerse slides in absolute alcohol immediately after preparation for better preservation.
Please also provide complete clinical information for better interpretation.
Note : The smears are inappropriate for reporting, repeat test is suggested. Please add
absolute alcohol immediately after retrieval of specimen for better preservation. Please also
provide complete clinical information for better interpretation.
Pap Smear.(Liquid based cytology
(Received 05ml fluid with LBC brush)
Prepared x02 smears.
Patient’s Name: Asia
Age/Sex: 38Y/FM
Date: 21-02-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left arm.

Clinical Details: Swelling left arm since 01month. H/O increase in size and pain. No h/o fever,
or weightloss. History of I/m injection 3-4months earlier. OE; Soft to firm in consistency,
measuring 10x08cm. Pus aspirated in needle butt.
Microscopy: The smears show sheets of viable, degenerated and necrotic neutrophils.
Opinion: Consistent with Abscess -- Arm

Note : Please correlate with clinical findings and microbial culture findings.

Patient’s Name: Sana

Age/Sex: 35Y/FM
Date: 21-02-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC right breast lump.

(Prepared stained slides x 03)
Clinical Details: Right breast tender nodule (1.2cm) involving the OUQ, noticed on USG. H/O
pain esp. premenstrual for last 02year. No h/o increase in size, fever or weight loss. No Family
history of breast pathology.
Microscopy : The smears are hypocellular with few small,cohesive fragments of ductal
epithelium seen along with some adipose tissue fragments. Atypia, mitoses or necrosis are not
identified. The background shows blood.
Opinion : Benign Breast Tissue

Reporting Category -- C2 (Benign)
Patient’s Name: Shanila W/O Riasat

Age/Sex: ?Y/FM
Date: 22-02-2018
FNA CYTOLOGY REPORT

Clinical Notes: Recurrentlump in left breast last year. Now for last 15days in UOQ, 2.5cm,
mobile , tender and nonadherant to surrounding structures.
Microscopy: The smears are hypocellular showing occasional histiocyte and no ductal epithelial
cells. The background comprises blood. No atypical cells are seen.

Note : The smears are inadequate for opinion , tissue biopsy is suggested if clinically
suspicious.

m(Al Rehman Medical Laboratory)
Patient’s Name: Iqra farooq

Age/Sex: 20Y/FM
Date: 22-02-2018
FNA CYTOLOGY REPORT

Clinical Notes: H/O right breast lump noticed 2-3months back. Mobile,tender, firm and square
in shape? measures 3.5x04cm in UOQ.
Microscopy: The smears are moderately cellular. Branched cohesive ductal epithelial fragments
are present in a background of blood with few scattered bare nuclei. No evidence of malignancy
is seen.

Patient’s Name: Ghulam Fatima

Age/Sex: 30Y/FM
Date: 23-02-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left breast lump.

(Prepared 04 smears on glass slides)
Clinical Details: Left breast nontender nodule (2x2cm) involving the IUQ, noticed 12year ago.
Now increasing in size, No h/o fever or weight loss. Now getting checked due to cancer
awareness program. Breastfed 03 children, LCB 3yr. Four ml of yellowish milky fluid aspirated
and lump reduced in size.
Microscopy : The smears are moderately cellular with numerous foamy histiocytes in a
protienaceous background. The latter contains few inflammatory cells too. No ductal cells are
identified. Atypia, mitoses or necrosis are not seen.
Opinion : Benign Breast Cyst – Left Side

Note : This morphology is most suggestive of a galactocele, please correlate.

Patient’s Name: Saleem Jan

Age/Sex: ?Y/FM
Date: 23-02-2018
FNA CYTOLOGY REPORT
Specimen: FNAC Site NOS

Microscopy: The smears are hypocellular showing blood formed elements only. No follicular /
epithelial/lymphoid or any other parenchymal cells are seen.
Note : Repeat FNAC is suggested. This Please provide complete clinical information .

Patient’s Name: Farzana
Age/Sex: 46Y/FM
Date: 26-02-2018
Reference: SELF
FNAC CYTOLOGY REPORT
Specimen: FNAC Parotid for cytology.

(Prepared slides x04)
Clinical Details: H/O right parotid swelling for last 03weeks. Following h/o fever, No h/o or
weight loss. Large 5x6cm, hard swelling.
Microscopy: The smears are moderately cellular. Cohesive sheets of ductal epithelium are
present in monolayers. The background comprises blood with occasional stromal fragment.
Many epitheloid histiocyte collections / granulomata are seen.
Opinion: Granulomatous Sialadenitis

Note : This may represent Viral infection, however necrotizing sialmetalpasia cannot be
ruledout. Please correlate with relevant laboratory and clinical findings.

Patient’s Name: Munnaza Waris

Age/Sex: 46Y/FM
Date: 27-02-2018
Reference: SELF
PAP SMEAR

(Received 01 unstained slide)

Note Opinion is limited due to air drying effects and absence of junctional zone
representation.

Patient’s Name: Zarmeen Khan

Age/Sex: ?Y/M
Date: 27-02-2018

Microscopy: The smears are hypercellular with sheets of atypical large lymphoid cells mixed
with neutrophils.
Opinion: Suspicious for Atypical Lymphoid Cell

Patient’s Name: Mohammad Yaqub

Age/Sex: 35Y/M
Date: 27-02-2018

Clinical Notes: CHC/CLD.
Microscopy: The smears are acellular . Amorphous material is seen in clear background.
Note : The aspirate is autolysed. Please preserve sample in alcohol/formalin for better
interpretation.

Patient’s Name: Shagufta

Age/Sex: 35Y/FM
Date: 28-02-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in right lobe and isthmus of Thyroid.

Clinical Notes: Multiple thyroid nodules for last 09yr. Feels few associated toxic symptoms.
Microscopy: The smears are moderately cellular. Sheets of follicular cells are present.
Numerous hemosiderin laden macrophages are also seen in the background of blood mixed with
thin colloid.
Opinion: Adenomatous Colloid Nodule ----- Thyroid

Patient’s Name: Jabran

Age/Sex: 19Y/M
Date: 01-03-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC left supraclavicular lymphnode.

(Prepared slides x 4)
Clinical Details: H/O left cervical lymphadenopathy (7x8cm) for 2wks, progressively increasing
in size. H/O low grade fever. No family hx of TB.
Microscopy: The smears show monomorphous population of lymphoid cells many showing
crushing as well. There are few larger cells also presesnt. In the background blood is present.
Opinion: Suspicious for Lymphoproliferative Disorder -- Cervical Node
Notes : Excision biopsy with immunohistochemistry is suggested for tissue diagnosis and
further categorization.

Patient’s Name: Fatima Farooq
Age/Sex: 19Y/FM
Date: 01-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 8-10yr back. Mobile nontender, firm and measures
05x06cm. No h/o fever, weight loss or family h/o Ca breast.
are present in a background of blood with few scattered bare nuclei. No evidence of maliganacy
is seen.
Opinion: Suggestive of Fibroadenoma --- Left Breast


Patient’s Name: Mrs Naeem
Age/Sex: 45Y/FM
Date: 02-03-2018
Reference: Al Rehman Hospital
FNA CYTOLOGY REPORT

Clinical Notes: Breast lump in UIQ of right breast, noticed 02months back. Associated with
pain. Measures 3x3cm.
Microscopy: The smears are hypocellular. Monolayered, cohesive ductal epithelial fragments
are present in a background of blood with few scattered cells with larger nuclei..
Opinion: Suspicious Nodule --- Right Breast

Note : In the light of age and clinical information of paeu de orange, this aspirate may not
be a true representative of the lesion. Trucut biopsy / US guided FNAC is suggested.

Patient’s Name: Ruqayya

Age/Sex: ?Y/FM
Date: 06-03-2018
Reference: ADC

About 01 ml of blood stained fluid received
Microscopy: The smears are hypercellular with many mature neutrophils. Occasional
lymphocyte and mesothelial cells are seen in the background.

Reported by Dr . Asna Haroon Khan

Patient’s Name: Rashida

Age/Sex: 46Y/FM
Date: 07-03-2018
Reference: CR Lab
PAP SMEAR
Microscopy: The smears are adequate for reporting.

Mild Inflammation is present.
Note : Theopinion is a limited due to absence of junctional zone represention.

Patient’s Name: Pervaiz Masih

Age/Sex: 50Y/M
Date: 07-03-2018
Reference: F Lab
Specimen: Fluid.
(About 10ml of straw colored fluid received)
Clinical Notes: None available . Site NOS.

Microscopy: The smears are hypocellular with few blood formed elements in thick
protienaceous background.
The smears are hypercellular with many mature neutrophils. Occasional lymphocyte and
mesothelial cells are seen in the background.


Patient’s Name: Naziran

Age/Sex: 68Y/FM
Date: 08-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump noticed 3-4yr back in UOQ. Mobile nontender, firm and
measures 05x05cm. Lipoma is present in right shoulder aswell.
Microscopy: The smear is hypocellular with cohesive tiny to medium sized fragments of mature
looking adipose tissue. The background contains lipoid droplets.
Opinion: Suggestive of Lipoma --- Right Breast



Age/Sex: 44Y/FM
Date: 08-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 04months back. Mobile,nontender, hard and measures
05x05cm. Axillary nodes palpable. USG; BIRAD IV. Family h/o Ca breast .
Microscopy: The smears are hypercellular showing three dimensional, partly dyshesive
epithelial fragments. These exhibit dispolarity and nuclear hyperchromasia . Atypical epithelial
cells with high N/C ratio and eccentric nuclei are found in the background.
Opinion: Suspicious for Malignancy – Breast Lump

Note : Excision/ trucut biopsy is suggested for definite tissue diagnosis.

Patient’s Name: Sahibzadi

Age/Sex: 55Y/FM
Date: 09-03-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC back of chest.

(Prepared smears on slides x 02)
Clinical Details: Swelling back of chest, left side. H/O increase in size. No h/o fever, pain or
weightloss. Scanty white material obtained with foul smell.
Microscopy: The smears are hypocellular and show keratin flakes and few anuclear squames.
The background is clear.
Opinion: Benign Cyst

Note : This may represent epidermal inclusion cyst, please correlate with clinical findings.
Adenomyoepithelioma
Patient’s Name: Mehboob Hussain
Age/Sex: 48Y/M
Date: 12-03-2018
Reference: Ultra Lab
FNA CYTOLOGY REPORT

Clinical Notes: Swelling infront of neck, for last 2.5 years. USG shows multinodular goiter with
prominent left lobe.
Microscopy: The smears comprise only scanty blood. No follicular or any other epithelial cells
are seen.
indicated.

Patient’s Name: Shakeela Bibi
Age/Sex: 50Y/FM
Date: 13-03-2018
Reference: Morder City Lab

Clinical Notes: Diagnostic tap done for malignant cells.
Microscopy: The smears are hypocellular with mostly blood and occasional clump of
lymphocyte.

Patient’s Name: Sumbal w/o Kamran

Age/Sex: 21Y/FM
Date: 14-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lumpin UIQ,noticed 01yr back. Mobile nontender, firm and
measures 2.5x03cm. Nonlactating mother, LCB 05months.
Microscopy: The smears are moderatel cellular. Branched cohesive ductal epithelial fragments
is seen.
Opinion: Fibroadenoma --- Left Breast


Patient’s Name: Mehboob Hussain

Age/Sex: 48Y/M
Date: 14-03-2018
FNA CYTOLOGY REPORT

(Received 04 stained smears on glass slides).
Clinical Notes: Multinodular thyroid, more so in left lobe for last 2-3yr. H/O associated toxic
symptoms for which already taking neomercazole and inderal.Now has no signs of toxicity and
TFT are WNL. Blood stained fluid 12 ml aspirated.
Microscopy: The smears are hypocellular. Occasional tiny clumps of follicular cells are
with thin colloid.
Opinion: Suggestive of Cystic Colloid Nodule --- Left Lobe Thyroid


Patient’s Name: Zain un Nisa

Age/Sex: 45Y/FM
Date: 15-03-2018
Reference: SELF
Specimen: Bronchoalveolar lavage fluid for cytology.
Clinical Notes: About 06 ml of hazy fluid received.
Microscopy: The smears are moderately cellular with lymphocyte and few RBCs. Occasional
columnar epithelial cells are seen. However the smear shows degenerative effects.
Opinion: Smears showing Degenerative Changes

Note: Opinion is limited due to degenarative changes. Please preserve sample by adding a
little formalin to the specimen or by maintaining cold chain, for better interpretation.

Patient’s Name: Umm e Farwa

Age/Sex: 28Y/FM
Date: 15-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump noticed 2-3months back in OUQ. Mobile nontender, firm
and measures 3.5x05cm. Nonadherent to underlying structures.
is seen.


Patient’s Name: Munir Hussain
Age/Sex: 70Y/M
Date: 20-03-2018
Reference: New Excel Lab Md

Microscopy: The smears are hypercellular. There are many small clumps of atypical cells with
hyperchromatic nuclei and irregular nuclear contours. The background comprises blood,
inflammatory cells, reactive mesothelial cells and protienaceous background.
Opinion: Atypical Cells Seen
Note : Please correlate with clinical findings as no clinical information is provided.

Patient’s Name: Alishbah
Age/Sex: ?Y/FM
Date: 22-03-2018
Specimen: CSF.
(About 2.5 ml of clear fluid received)
Microscopy: The smears are cellular with few mature lymphocyte and neutrophils.
Note : Correlation with clinical findings is suggested.

Patient’s Name: Nazrin

Age/Sex: 35Y/FM
Date: 26-03-2018
Reference: Genomic Lab
PAP SMEAR

Microscopy: The smear is Adequate for reporting.

Junctional zone/endocervix is not represented.
Note : This is a limited opinion.

Patient’s Name: Azra

Age/Sex: 25Y/FM
Date: 26-03-2018
PAP SMEAR

Microscopy: The smear is Adequate for reporting.

Junctional zone/endocervix is not represented.
Note : This is a limited opinion.

Patient’s Name: Badera Shahid

Age/Sex: 25Y/FM
Date: 27-03-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left submandibular nodule.
Clinical Details: H/O left submandibular swelling for last 02months. No H/O weight loss or
fever. Size 2.5-03cm. mobile, nontender, nonadherant.
The smears show polymorphous lymphoid cells. Many epitheloid histiocyte collections are
present in the background composed of blood containing numerous neutrophils.
Chronic Granulomatous Inflammation with

Superimposed Acute inflammation
Note : The lesion may be due to tuberculosis, please correlate with clinical and relevant
investigations.

Patient’s Name: Abdul Majeed

Age/Sex: 60Y/M
Date: 29-03-2018
Reference: C R Lab

Clinical Notes: Diagnostic tap done for malignant cells.
Microscopy: The smears are hypocellular with few lymphocytes and neutrophils. Occasional
mesothelial cell is seen in a clear background.

Patient’s Name: Marwa

Age/Sex: 05M/FM
Date: 29-03-2018
FNA CYTOLOGY REPORT
Specimen: FNAC swelling axilla.

(Received smears on glass slides x 2)
Clinical Details: Patient is a known case of hypothyroidism and microcephaly on replacement

therapy. H/O generalized lymphadenopathy and recurrent chest infections. Multiple nodules
firm in consistency, measuring 2x3cm in axilla right.
Microscopy: The smears show sheets of viable and degenerated, necrotic neutrophils. The
background shows phagocytic histiocytes .
Opinion: Consistent with Acute Lymphadenitis


Patient’s Name: Muneeza Begum

Age/Sex: 60Y/FM
Date: 29-03-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump for last 1year. Size 13x10cm, mobile nontender, firm nodule.
H/o low grade fever and weight loss.
Microscopy: The smears are moderately cellular. branched and unbranched cohesive and partly
dyshesive ductal epithelial, three dimensional fragments are present in a background of
proteinaceous material with scattered histiocytes.
Opinion: Suspicious Nodule --- Right Breast

Reporting Category – C3 (Suspicious)
Note : Morphology is suggestive of fibroepithelial lesion, however in the presence of h/o

rapid growth and age of the patient, malignancy arising in other parts of a large lump
cannot be excluded with FNAC only. Excision is strongly suggested.

Patient’s Name: Qayyum
Age/Sex: 33Y/M
Date: 30-03-2018
Specimen: About 35 ml of clear urine received .

Microscopy: The smears show few inflammatory cells, along with few epithelial cells.
Opinion: Negative for High Grade Urothelial Carcinoma


Patient’s Name: Tehmina

Age/Sex: 20Y/FM
Date: 03-04-2018
Reference: RDC
PAP SMEAR


Mild Inflammation is present

Patient’s Name: Mahil Bibi w/o Ayaz

Age/Sex: ?Y/FM
Date: 05-04-2018
Reference: CR Lab
Specimen: Peritoneal washings for cytology.


Patient’s Name: Sakina Bibi

Age/Sex: ?Y/FM
Date: 05-04-2018
Reference: Jinnah Labs
PAP SMEAR

Microscopy: The smear is scanty for reporting.

Squamous cells are also scanty.
Opinion: Inadequate for reporting.
Note : This is a limited sample, please correlate with clinical findings.
Note : This is a limited sample, please correlate with clinical findings. Please send smear
covering atleast 10% of the slide surface area, well preserved in absolute alcohol
immediately after preperation.
Patient’s Name: Zarifa

Age/Sex: 47Y/FM
Date: 06-04-2018
Reference: CR Lab

(Received 09cc blood tinged fluid)
Clinical Notes: Ascites.
Microscopy: The smears are hypocellular with mostly RBC and occasional lymphocyte. The
background is dense.


Patient’s Name: Shabina

Age/Sex: ?Y/FM
Date: 06-04-2018
Reference: Beacon Labs
PAP SMEAR


Squamous cells show atrophy.
Occasional atypical epithelial cell is seen.
With High N/C ratio.
Inflammation moderate.
Opinion: Atypical Squamous Cells of Undetermined Significance(ASCUS).

Note : In the presence of atrophy and inflammation definite opinion is not possible. Please
treat both and then repeat smear.

Patient’s Name: Nayamat Bibi

Age/Sex: 70Y/FM
Date: 06-04-2018
FNA CYTOLOGY REPORT
Specimen: FNAC lump left and right Breasts.

(Received unstained slides x 09, Unmarked)
Clinical Notes: Lump in left breast for 01yr.Tender, mobile, multiple nodules, nonadherant to
surrounding structures.
Microscopy: The smears are hypocellular showing scanty blood only and no ductal epithelial
cells. No atypicalcells are seen.

clinically indicated. Please note that left or right was not marked on the slides.

Patient’s Name: Shahida Perveen
Age/Sex: 39Y/FM
Date: 09-04-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen:
Clinical Notes: Swelling on right shoulder posteriorly, for last 2-3years. Now neck stiffness is
experienced..
Microscopy:The smears are hypocellular with cohesive tiny fragments of mature looking
Opinion: Suggestive of Lipoma --- Right Shoulder

Patient’s Name: Shahid
Age/Sex: 35Y/M
Date: 09-04-2018
Specimen: Pleural fluid for cytology.


Consistent with Empyema Chest


Age/Sex: 35Y/FM
Date: 09-04-2018
Reference: Self
FNA CYTOLOGY REPORT

(Received unstained glass slides 04 smears)
Clinical Notes: Breast lump at the base of left areola with nipple retraction noticed 20 days
back. Size 3x3cm, painful.
Microscopy: The smears are moderately cellular with sheets of degenerated neutrophils ,
phagocytic histiocytes, giant cells and many granulomata. Afew normal looking ductal epithelial
fragments are also present. No evidence of maliganacy is seen.
Opinion: Acute on Chronic Granulomatous Mastitis

Note : Differential diagnosis includes Idiopathic Granulomatous Mastitis and tuberculosis.

Clinical correlation and relevant laboratory investigations are suggested.

Patient’s Name: Sakeena

Age/Sex: 22Y/FM
Date: 11-04-2018
PAP SMEAR

Clinical Details: Copious PV discharge and PC bleeding. OE: Cervical ectropion, hypertrophy
and curdy discharge.
Endocervical epithelial fragments are not present.
Mild Inflammation is seen.

Patient’s Name: M Shamshad

Age/Sex: 32Y/M
Date: 12-04-2018
FNA CYTOLOGY REPORT

(Received 04 stained smears on glass slides).
Clinical Notes:Nodule in right lobe for last few years. No H/O associated toxic symptoms .
Rapidly increased in size over last 06wks. Size 08x05cm. Brown colloidal fluid, 30 ml,
aspirated.
Microscopy: The smears are hypocellular. Many hemosiderin laden macrophages are seen in the
background of thick colloid. Follicular cells are not seen.
Opinion: Cystic Colloid Nodule --- Right Lobe Thyroid

Note : Please correlate with USG findings.

Patient’s Name: M Aqeel

Age/Sex: 03Y/M
Date: 12-04-2018
Reference: Med Path Lab
FNA CYTOLOGY REPORT
Specimen: FNAC left preauricular nodule.

(Prepared x04 smears on glass slides)
Clinical Details: H/O left preauricular swelling for last 02years. No H/O weight loss or fever.
Size 2.5cm. mobile, nontender, nonadherant.
Microscopy: The smears show polymorphous lymphoid cells. Many epitheloid histiocyte
collections are present in the background composed of blood containing lymphoid cells.
Opinion: Chronic Granulomatous Inflammation with

--- Left Preauricular Region
Note : The lesion may be due to tuberculosis, please correlate with clinical and relevant
investigations.

Patient’s Name: Kousar W/O Ab Razzaq

Age/Sex: 45Y/FM
Date: 23-05-2018
Reference: Makhdoom Lab Mb
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 02years back. Mobile,discoid, nontender, hard and
measures 05x05cm in OUQ. Ipsilateral axillary node is palpable. Previously done FNAC of LN
was reported benign. No Family h/o Ca breast .
Microscopy: The smears are hypercellular showing three dimensional, dyshesive epithelial
fragments. These exhibit dispolarity and nuclear pleomorphism. Atypical epithelial cells with
high N/C ratio are found in the background.


Patient’s Name: Kifayat Ullah
Age/Sex: ?Y/M
Date: 17-04-2018

Microscopy: The smears are hypocellular with few inflammatory cells and mesothelial cells.
The background is protienaceous.

Patient’s Name: Afifa Asad
Age/Sex: 21Y/FM
Date: 18-04-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump noticed 03months back. Mobile nontender, firm and
measures upto 01cm in IUQ. H/O pregnancy of about 07wks duration.
Microscopy: The smears are hypocellular. Small tight cohesive ductal epithelial fragments are
seen.
Opinion: Benign Breast Tissue


Patient’s Name: Babar Shafique
Age/Sex: 20Y/M
Date: 18-04-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen: FNAC right cervical lymphnode.

Clinical Details: H/O right cervical nodule (2x3cm) of long standing, progressively increasing in
size. Also noticed increase in size during URTI. No H/O low grade fever. No family hx of TB.
Microscopy: The smears show monomorphous population of mature lymphocytes mostly.

Occasional large nucleus and a fragmented vague granuloma is seen too. Tingible body
macrophages are not seen. In the background blood is present.
Opinion: Suspicious Lymphoid Aspirate -- Cervical Node
Notes: Excision biopsy is suggested for definitetissue diagnosis.

Patient’s Name: Abdul Sattar

Age/Sex: 55Y/M
Date: 18-04-2018
FNA CYTOLOGY REPORT
Specimen: FNAC of right Sumandibular swelling.

Clinical Notes: Right cervical Lump for last 1.5month, measuring 4x2cm. Also h/opain and
dysphagia/odynophagia with weight loss.
Microscopy: The smears are moderately cellular. Clusters of atypical cells are seen
intermingled with lymphocyte and neutrophils. Blood and necrotic tissue with scattered atypical
cells is forming the background .
Opinion: Suggestive of Metastatic Carcinoma
Note : Primary may be in upper aerodigestive tract . Morphology is suggestive of

Squamous morphology.

Patient’s Name: Rida

Age/Sex: 16Y/FM
Date: 18-04-2018
Reference: RDC
FNA CYTOLOGY REPORT
Specimen: FNAC neck.

(Received unstained glass slides x 3)
Clinical Details: H/O neck pain . Site NOS.
Microscopy: The smears show many viable and degenerated, necrotic neutrophils. Amongst
these few macrophages with phagocytosed material are also seen. Lymphocytes are also present.
Opinion: Inflammatory Aspirate -- Neck

Note : Please correlate with clinical and microbial culture findings.

Patient’s Name: Nasreen Akhter

Age/Sex: 36Y/FM
Date: 20-04-2018
FNA CYTOLOGY REPORT
Specimen: FNAC of Thyroid.

(Received 06 smears on glass slides).
Clinical Notes: Multinodular thyroid for last 20yr. Gradually increasing in size Now feels
dyspnoic but no associated toxic symptoms.
Microscopy: The smears are moderately cellular. Monolayeredsheets of follicular cells are
with colloid.

Patient’s Name: Sadaf Naz Age/Sex:

21Y/FM
Date: 23-04-2018
Reference: C R Lab
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump for last 06months. Size 29.9x24.3x26.3cm, mobile nontender,
firm nodule. H/o pain for last 01month. H/O paternal aunt being diagnosed for CA breast.
Microscopy: The smears are hypocellular. Few groups of partly dyshesive ductal epithelial cell
are seen, these show air drying effects. Few normal looking epithelial fragments are also seen.
Naked , air dried nuclei are present in a background of blood.
Opinion: Suspicious Nodule --- Left Breast

Reporting Category – C3 (Suspicious)
Note : Morphology is suggestive of fibroepithelial lesion, however due to hypocellularity

and air drying limitations, Repeat FNAC / Tissue biopsy is strongly suggested.

Patient’s Name: Ejaz Ahmed

Age/Sex: 25Y/M
Date: 24-04-2018
Reference: Self
FNA CYTOLOGY REPORT

Clinical Details: Swelling posterior cervical region since 02months. H/O increase in size. There
is h/o fever, pain. No weightloss. Soft to firm in consistency, measuring 5x4cm. One cc of pus
aspirated.


Patient’s Name: Tahira
Age/Sex: 35Y/FM
Date: 24-04-2018
Reference: The Test Lab
FNA CYTOLOGY REPORT

Clinical Notes: Enlarged thyroid in right & left lobes for last 12yrwith a nodule on right side.
No associated toxic symptoms. Measures 3x4cm and gives pressure symptoms.
Microscopy: The smears are hypocellular. Few clusters of follicular cells are present in the
background of blood mixed with thick colloid.
Opinion: Suggestive of Adenomatous Colloid Nodule ----- Thyroid


Patient’s Name: Maghtara Bibi

Age/Sex: 633Y/FM
Date: 24-04-2018
Reference: Med Path Lab
FNA CYTOLOGY REPORT

(Recieved 06 smears on glass slides).
Clinical Notes: Multinodular thyroid around the neck for last 20yr. No associated toxic
symptoms. Measures 10x12cm and associated with difficulty in breathing.
Microscopy: The smears are moderately cellular. Tight clusters and monolayered sheets of
follicular cells are present.Few hemosiderin laden macrophages are also seen in the background
of blood mixed with thin colloid.


Patient’s Name: Rukhsana

Age/Sex: 50Y/FM
Date: 24-04-2018
Reference: RDC

(About 05 ml of straw colored fluid received)

Patient’s Name: Samina

Age/Sex: 35Y/FM
Date: 25-04-2018
Reference: ADC

(About 06ml of clear fluid received)

Microscopy: The smears are moderately cellular with lymphocyte and neutrophils. Few
mesothelial cell is seen in the background.

Patient’s Name: Sobia

Age/Sex: 17Y/FM
Date: 26-04-2018
FNA CYTOLOGY REPORT
Specimen: FNAC rightParotid nodule.

(Received unstained slides x05)
Clinical Details: H/O rightParotid nodule for last 01month. No H/O weight loss. H/O
pain and fever. Size 1.5-1.5cm. Fixed.
Microscopy: The smears show polymorphous lymphoid cells. Many epitheloid

histiocyte collections are present in the background composed of blood containing
numerous neutrophils.
Opinion: Chronic Granulomatous Inflammation with

Superimposed Acute inflammation
--- Right Parotid Region
Note : The lesion may be due to tuberculosis, please correlate with clinical and
relevant investigations.

Patient’s Name: Amrooda Bibi

Age/Sex: 55Y/FM
Date: 26-04-2018
Reference: The Test Lab
FNA CYTOLOGY REPORT

Clinical Notes: Painless swelling infront of neck, for last 2 years. Size : 3.5x2.8cm.
Microscopy: The smears comprise only scanty blood. No follicular or any other epithelial cells
are seen.
indicated.

Patient’s Name: Bahadar Khan
Age/Sex: ?Y/M
Date: 27-04-2018

Microscopy: The smears are moderately cellular with white blood mostly lymphocytes and few
neutrophils in a clear background.

Patient’s Name: D/O Tariq
Age/Sex: 35Y/FM
Date: 2-04-2018
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in Thyroid.

Clinical Notes: Thyroid function tests within normal limits.
Microscopy: The smears are hypocellular. Few clumps of follicular cells are present. The
background of blood is mixed with thin colloid.


Patient’s Name: Asifa

Age/Sex: 28Y/FM
Date: 30-04-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC left posterior cervical lymphnode.

Clinical Details: H/O left cervical lymphadenopathy 1.5cm for 201wk, progressively increasing
in size. H/O RHC pain and cough for last 3-4days. Noh/o fever or rash. Strong family Hx of TB.
Microscopy: The smears show monomorphous population of lymphoid cells. There is

occasionallarge cell also present in the background containing many eosinophils.
Notes : Differential also includes Angiolymphoid hyperplasia with eosinophilia. Excision

biopsy with immunohistochemistry is suggested for definite tissue diagnosis.

Patient’s Name: Mohammad Tauseef

Age/Sex: 17Y/M
Date: 02-05-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen: FNAC of swelling at Right angle of jaw.

(Prepared Stained slides x 4)
Clinical Notes: Hard, mobile,2x2cm swelling in right angle of jaw (parotid) for last 04month.
Now increasing in size and no h/o pain on chewing. No h/o fever or weightloss.
few chunks of stromal tissue are also seen. The background contains many epithelial cells and
blood.
Opinion : Most suggestive of Benign Epithelial Tumor
Note : The differential also includes Mixed Salivary Gland Tumor. Excision is required for
definite tissue diagnosis.

Patient’s Name: Gohar Jan

Age/Sex: ?Y/FM
Date: 04-05-2018

(About 10ml of yellow tinged fluid received)
Microscopy: The smears are hypocellular with few degenerated cells only. The background is
amorphous.
Note : The appearance is of a degenerated sample, please correlate.

Patient’s Name: Yasmeen

Age/Sex: 249Y/FM
Date: 07-05-2018
Reference: Self
Specimen: Peritoneal washings for cytology.

(About 10 ml of Reddish fluid received)
Clinical Notes: Ovarian cyst. TAH + BSO with omentectomy.

Patient’s Name: Kiran Naheed
Age/Sex: 15Y/FM
Date: 09-035-2018
Reference: M C Lab
FNA CYTOLOGY REPORT
Specimen: FNAC bilateral nodule neck.

(Prepared 06 slides)
Clinical Details: H/O bilateral neck swellings for last 06months. H/O weight loss, but no
fever. Discrete, variably sized, mobile, nontender, nonadherant, bilateral nodes. Both
sides sampled.
Microscopy: The smears show polymorphous lymphoid cells. Many epitheloid

histiocyte collections are present in the background composed of blood containing few
eosinophils. However no classical or variant of RS cell is seen.
Opinion: Chronic Granulomatous Inflammation

May be due to Tuberculosis
Note : The lesion may be due to tuberculosis, please correlate with clinical and
relevant investigations.

Patient’s Name: Yasira
Age/Sex: 38Y/FM
Date: 10-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right nipple Breast.

Clinical Notes: Painful, hard, right nipple for last 01year.
Microscopy: The smears are hypocellular showing occasional squamous cell and no ductal
epithelial cells. The background is clear.

Note : The smears are inadequate for opinion , tissue biopsy is suggested if clinically
indicated.

Patient’s Name: Robina

Age/Sex: 40Y/FM
Date: 10-05-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 01yr back. Mobile,tender, hard and measures
03x05cm, below the nipple. Axillary lump was exiced 15days ago and reported to be invasive
breast carcinoma.
Microscopy: The smears are hypocellular showing tiny, dyshesive epithelial clusters. These
exhibit nuclear hyperchromasia and pleomorphism . Afew such cells are also found in the
hemorrhagic background.


Note : Excision biopsy is suggested if node persists or increases in size.

Patient’s Name: Zabeena

Age/Sex: 35Y/FM
Date: 11-05-2018
Reference: CR Lab
FNA CYTOLOGY REPORT
Specimen: FNAC right lobe of Thyroid.

Clinical Notes: Thyroid enlarged for last 03yr. No definite associated toxic symptoms, though
she has anxiety. USG and scan not done yet. Has been taking intermittent treatment for toxic
symptoms.
Microscopy: The smears are hypocellular. Few clumps of follicular cells are present embedded
in colloid. Many hemosiderin laden macrophages are also seen in the background of blood mixed
with thin colloid.


Patient’s Name: S/O Akhter Hussain

Age/Sex: 04Y/M
Lab No : CYTO -110a/18
Date: 15-05-2018
Specimen: Right knee fluid.

Clinical Notes: H/O injury followed by swelling.

Microscopy: The smears comprise blood and its formed elements with slightly increased
lymphocytes. No atypical cell is seen.
Special Stain (ZN) for AFB : Negative.


Patient’s Name: Mansoor

Age/Sex: 27Y/M
Date: 16-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC swelling right jaw line.

Clinical Details: Swelling right jaw region since 02yr. H/O vexing and vanning in size. No h/o
fever, pain. No h/o weightloss. Firm in consistency, measuring 3x2cm. skin reddened and
pointing seen. Pus aspirated.
Occasionally the background shows mature squamous epithelial cells.
Opinion: Consistent with Abscess

Note : This may represent inflamed epidermal inclusion cyst.

Patient’s Name: Mrs Ayesha
Age/Sex: ?Y/FM
Date: 16-05-2018
PAP SMEAR


Junctional zone/Endocervix is not represented.
No epithelial cell abnormality is seen.
Note : This opinion is limited due to absence of junctional zone representation.

Patient’s Name: Surriya Begum
Age/Sex: 72Y/FM
Date: 18-05-2018
FNA CYTOLOGY REPORT

Clinical Notes: H/o soft, lump in right breast in LOQ for last 02months. Nodule measures
2x2cm. skin is tethered. Nipple is normal looking. No h/o fever, cough, weight loss etc.
Microscopy: The smears are hypercellular showing dyshesive, epithelial fragments. These
exhibit dispolarity and hyperchromasia and large atypical nuclei. Atypical epithelial cells with
high N/C ratio are also found in the background of blood.


Patient’s Name: Tehmina w/o Latif
Age/Sex: 35Y/FM
Date: 18-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC lump breast.

Clinical Details: Lump left breast since 05days. No h/o fever, pain or weightloss. Soft to firm in
consistency, measuring 3x3cm. Pus aspirated.
Microscopy: The smears show sheets of viable and degenerated, necrotic neutrophils. Few
plump epithelial cells are also seen.
Opinion: Consistent with Abscess Breast


Patient’s Name: Fateh Mohammad
Age/Sex: 81Y/M
Date: 18-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC swelling left side of neck.

(Recieved smears on glass slides x 5)
Clinical Details: Swelling left side of neck for 1.5months. H/O dyspnea and dysphagia. Size is
2x2cm. No other lymphadenopathy.
Microscopy: The smears show sheets of squamous cells, few show individual cell
keratinization. Viable and degenerated neutrophilsare also seen.
Opinion: Suspicious for Malignancy
Note : Keeping in view the clinical history and age of the patient, primary in upper
aerodigestive tract may please be ruledout.

Patient’s Name: Qamar Sultana

Age/Sex: 62Y/FM
Date: 18-05-2018
Reference: H F Hospital
FNA CYTOLOGY REPORT
Specimen: Aspirate for cytology.

(Received stained smears on glass slides x2)
Clinical Details: EUS done. Periampullary growth leading to obstructive jaundice, Findings;
heterogenous mass around distal end of CBD measuring 2.5x1.5cm. ROSE shows scanty
malignant cells.
Microscopy: The smears comprise blood. Occasional atypical epithelial cells are seen.
Note : Please also see histopathology report # S- 654-2018 of the same patient.

Patient’s Name: Mr Shakir

Age/Sex: 37Y/M
Date: 22-05-2018
Reference: Fatima Medical Lab




Patient’s Name: Mahwish

Age/Sex: ?Y/FM
Date: 23-05-2018
Reference: Jinnah Labs
PAP SMEAR

(Received x 01 unstained slide)

Squamous epithelial component normal.
Inflammation is not present.
Note : This is a limited opinion due to absence of Junctional zone representation.

Patient’s Name: Zahida

Age/Sex: 45Y/FM
Date: 28-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC thyroid.

Clinical Details: H/O thyroid swelling (2x3cm) for last 06months. Firm, mobile and
progressively increasing in size. No H/O associated symptoms.
Microscopy: The smears show polymorphous population of lymphoid cells showing extensive
air drying and crushing artifacts. There are few large cells also present. Afew clusters of
polygonal cells are also identified. In the background blood formed elements including
eosinophils are present.
Opinion: Suspicious Aspirate

Bethesda Category - III (Atypia of Undetermined Significance)
Notes : Repeat FNAC with appropriate fixation/ tissue biopsy is suggested for definite
diagnosis.
Patient’s Name: Zahida

Age/Sex: 45Y/FM
Date: 31-05-2018
FNA CYTOLOGY REPORT
Specimen: FNAC thyroidand adjacent nodule.

(Prepared slides x 6 , 2x passes)
Clinical Details: H/O central thyroid swelling (2x3cm) for last 06months. Firm, mobile and
progressively increasing in size. Small supraclavicular nodule is also palpable. No H/O
associated symptoms.
Microscopy: The smears show atypical cells with extensive streaking affect. There are few
large cells also presentwith ample eosinophilic cytoplasm. Afew singly scattered large cells with
hyperchromatic nuclei are also identified. The background contains necrotic material ,blood
formed elements including eosinophils.
Opinion: Highly Suspicious for Malignancy

Bethesda Category - V
Notes : Opinion is limited due to exrensive crushing. Differential include high grade
thyroid carcinoma. Please correlate with imaging findings.

Patient’s Name: Laiba
Age/Sex: ?Y/FM
Date: 08-06-2018
Reference: RDC
Specimen: CSF.
Microscopy: The smears are cellular with few mature lymphocyte and red blood cells.
Note : Suggestive of traumatic aspirate. Please correlate with clinical findings.

Patient’s Name: Qazi Mohammad Imran
Age/Sex: 44Y/M
Date: 11-06-2018
FNA CYTOLOGY REPORT
Specimen: FNAC forehead swelling.

Clinical Notes: Swelling forehead, 2x2cm, for last 05yr. No h/o fever, pain, weight loss or any
other active complaint. OE : overlying skin is normal.
DDx: cyst/ lipoma.
Microscopy: The smears comprisescanty blood only. No adipocytes or any other epithelial cells
are seen.
Opinion: Hemorrhagic Aspirate ----- Forehead
Note : The smears are inadequate for opinion , repeat FNAC/ excision is suggested if


Age/Sex: 42Y/FM
Date: 13-06-2018
FNA CYTOLOGY REPORT

Clinical Notes: H/o hard, mobile, nontender, lump in right breast in UIQ for last 3-4months.
Nodule measures 8x6cm. History of goiter for last 07 years aswell.
Microscopy: The smears are hypercellular showing numerous individually scattered

pleomorphic cells. These have high N/C ratio and scanty cytoplasm. These exhibit
hyperchromasia and bizarre large atypical nuclei. The background shows blood cells.

Note : Morphology is suggestive of a high grade neoplasm. Biopsy is suggested for definite
tissue diagnosis.

Patient’s Name: Gohar Bibi

Age/Sex: ?Y/FM
Date: 19-06-2018
Specimen: ASCITIC FLUID FOR CYTOLOGY.

(About 10 ml of straw colored fluid received)

Microscopy: The smears are hypocellular with occasional lymphocyte seen in a clear
background.

Patient’s Name: Shazia Shehzad

Age/Sex: 38Y/FM
Date: 19-06-2018
Reference: Accurate Labs
FNA CYTOLOGY REPORT
Specimen: FNAC lumpbreast.

Clinical Details: Lump in OUQ of left breast since 05days. No available h/o fever, pain or
weightloss. Firm in consistency, measuring 3x3cm. No FHx of Ca breast.
Occasional cluster of plump epithelial cells is also seen.
Opinion: Consistent with Abscess Breast


Patient’s Name: Sultan Begum

Age/Sex: 70Y/FM
Date: 22-06-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in left lobe of Thyroid.

Clinical Notes: Thyroid nodule in left lobe for last 01month. Feels dysphagia but cleared by
ENT. No associated toxic symptoms. Multiple calcific nodules on USG. OE; Multinodular more
on left. 12cc thick colloid aspirated.
Microscopy: The smears are hypocellularwith mostly acute inflammatory cells. No follicular
cells are present however few large bizarre looking hyperchromatic cells are seen with large
nuclei.Few hemosiderin laden macrophages , microcalcification and occasional multinucleated
giant cells are also seen in the background of thick colloid.
Opinion: SuspiciousThyroid Nodule
Note : Considering the age of the patient and history of rapid growth , excision is suggested
for definite diagnosis.

Age/Sex: 47Y/FM
Date: 23-01-2018
Reference: SELF
FNA CYTOLOGY REPORT

Clinical Notes: Solitary thyroid nodule in right lobe for last 01yr. Feels dyspnoic but no
associated toxic symptoms. Cold nodule on scan.
Microscopy: The smears are moderately cellular. Sheets of follicular cells are present.Few
hemosiderin laden macrophages are also seen in the background of blood mixed with thin
colloid.


Patient’s Name: Rizwana
Age/Sex: 25Y/FM
Date: 25-06-2018
FNA CYTOLOGY REPORT

(Prepared on glass slides x04 smears)
Clinical Notes: Breast lump above the left areola noticed 30 days back. The nipple is retracted
on this side since childhood and has not breast fed children from this side. OE; size 5x3cm,
slightly painful firm with tethering of skin. No FHx of breast pathology. Last child born is 3yrs.
Microscopy: The smears are moderately cellular with sheets of neutrophils and few
lymphocytes. Many phagocytic histiocytes, multinucleate giant cells and epitheloid cell
granulomata are present. Afew normal looking ductal epithelial fragments are also present. No
evidence of malignacy is seen.
Opinion: Chronic Granulomatous Mastitis

Note : Differential diagnosis includes Idiopathic Granulomatous Mastitis and tuberculosis.

Clinical correlation and relevant laboratory investigations are suggested.

Patient’s Name: Hina
Age/Sex: 18Y/FM
Date: 26-06-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right lobe of Thyroid.

(Received 03 unstained smears on glass slides).
Clinical Notes: Diffuse thyroid swelling since childhood. H/O generalized weakness with it.
Microscopy: The smears are hypocellular. Clusters of follicular cells are present.Few
macrophages are also seen in the background of blood mixed with thin colloid.
Opinion: Suggestive of Benign Thyroid Swelling


Patient’s Name: Surriya Bibi

Age/Sex: 40Y/FM
Date: 27-06-2018
Reference: SELF
FNA CYTOLOGY REPORT

Specimen: FNAC nodule in infront of neck.
Clinical Notes: Solitary thyroid nodule(02cm) in isthmus of thyroid for last 03yr. Feels
dyspnoeic but no associated toxic symptoms.
Microscopy: The smears are moderately cellular. Sheets of follicular cells and macrofollicles are
present. Clusters of hemosiderin laden macrophages are also seen in the background of blood
mixed with thick colloid.
Opinion: Suggestive of Adenomatous Colloid Nodule


Patient’s Name: Nargis Bibi

Age/Sex: 40Y/FM
Date: 27-06-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right postauricular swelling.

Clinical Details: Swelling in right post auricular region for last 25years. H/O increase in size for
last 10yrs. No h/o fever or pain. Past h/o of ATT long ago. H/O 02 previous attempts with h/o
fluid aspiration. OE; soft to doughy diffuse swelling 4x5cm. Now 07ml of fluid was aspirated.
Microscopy: The smears show occasional inflammatory cells. No epithelial cell is identified.
The background is proteinaceous and contains few RBC.
Opinion: Cystic Lesion – Right Postauricular Region
Note : Cystic mucoepidermoid carcinoma cannot be ruled out, please correlate with clinical
findings. Excision biopsy is suggested for definite tissue diagnosis.

Patient’s Name: Nasreen

Age/Sex: 65Y/FM
Date: 29-06-2018
FNA CYTOLOGY REPORT
Specimen: Aspirate for cytology.

(Received stained smears on glass slides x4)
Microscopy: The smears comprise blood. Afew epithelial cells are seen. No overt atypia is seen.
Opinion: No Atypical Cells Seen
Patient’s Name: Gulzar Bibi

Age/Sex: 65Y/FM
Date: 29-06-2018

(About 04 ml of thick fluid received)
Clinical Notes: Suspicious of intestinal TB. Multiseptate fluid. Diagnostic tap done.
Microscopy: The smears are hypocellular with few lymphocyte and occasional mesothelial cell
is seen in a proteinaceous thick background.

Patient’s Name: Naseem w/o Tasawar
Age/Sex: 30Y/FM
Date: 02-07-2018
Reference: F. Lab
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in ithmus of Thyroid.

Clinical Notes: A thyroid nodule(4x3cm) in center for last 10yr. Now c/o sore throat often but
no associated toxic symptoms.
Microscopy: The smears are moderately cellular. Clusters of follicular cells are present. Sheets
of epitheloid histiocytes are also present. Few hemosiderin laden macrophages are also seen in
the background of blood mixed with colloid.


Patient’s Name: Gulrab Bibi
Age/Sex: 20Y/FM
Date: 02-07-2018
FNA CYTOLOGY REPORT

Clinical Notes: Thyroid nodule(2x2cm) in isthmus for last 04months. H/O toxic symptoms like
fine tremors and associated weightloss and weakness.USG showed a nodule(1.2x0.8cm)with
cystic component.
Microscopy: The smears are moderately cellular. Macrofollicles of follicular cells are
with thick colloid.
Opinion:Adenomatous Colloid Nodule ----- Thyroid


Patient’s Name: Fatima

Age/Sex: ?Y/FM
Date: 02-07-2018

Microscopy: The smears are moderately cellular with blood formed elements and mesothelial
cells. Afew large cells with vacuolated cytoplasm and hyperchromatic nuclei are also seen.The
background is thick and protienaceous.
Opinion: Afew Atypical Cells Seen

Patient’s Name: Razia Bibi

Age/Sex: 70Y/FM
Date: 02-07-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump in UOQnoticed 01month back. Mobile nontender, firm and
measures 3.5cm. No palpable axillary nodes. Associated myalgias and joint pains.
are present in a background of blood with few scattered bare nuclei. Stromal fragments are also
seen. No evidence of malignancy is seen.
Opinion: Suggestive of Fibroepithelial lesion --- Left Breast
Note : Keeping in view the age of the patient, regular followup is suggested and excision
biopsy is recommended if clinically suspicious.

Patient’s Name: M Abdullah

Age/Sex: 05Y/M
Date: 04-07-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left submandibular lymph node.

Clinical Details: H/O nodular swellings in left postauricular area, 02x1.5cm, mobile,
nonadherant and tender. Noticed 02months ago. One sebaceous cyst in scalp. No associated
symptoms.
cells are seen.
Opinion: Reactive Lymphoid Hyperplasia -- Left Postauricular Node


Patient’s Name: Saadia w/o Arshad

Age/Sex: 50Y/FM
Date: 06-07-2018
FNA CYTOLOGY REPORT

Clinical Details: Left breast, nontender lump involving the lateral side noticed 02 months ago.
Now increasing in size, No h/o fever or weight loss. Yellowish milky fluid aspirated and similar
nipple discharge.
Microscopy : The smears are hypocellular with occasiona smallductal and stromal fragments.
Occasional foamy histiocyte is also seen in the clear background. Atypia, mitoses or necrosis are
not seen.
Opinion : Suggestive of Benign Breast Lump – Left Side

Note : This morphology may be suggestive of a galactocele, please correlate.

Patient’s Name: Sakoonat

Age/Sex: ?Y/FM
Date: 06-07-2018
Reference: New Doctors Lab
PAP SMEAR

None available.


Patient’s Name: Nisar Hussain
Age/Sex: 58Y/M
Date: 06-07-2018
Reference: M0dern City Lab

(About 02 ml of yellowish turbid fluid received)
Microscopy: The smears are hypocellular with few neutrophils and lymphocyte. Occasional
mesothelial cell is seen in clear background.

Patient’s Name: Nissa
Age/Sex: ?Y/FM
Date: 09-07-2018
Reference: Life Care Lab
PAP SMEAR


Endocervical epithelial fragments are also present.
Mild Inflammation is seen.

Patient’s Name: Surriya Bibi
Age/Sex: 35Y/FM
Date: 10-07-2018
Reference: Self
FNA CYTOLOGY REPORT
Specimen: FNAC lump leftbreast.

Clinical Details: Lump left breast since 07days. No h/o fever, pain or weightloss. Soft to firm in
consistency, measuring 02cm. Lactating LCB 01yr. Milky fluid aspirated.
Microscopy: The smears show clusters of viable and degenerated neutrophils. Few fragments
of adipose tissue are also seen. The background contains foamy histiocytes and inspissated
secretions.
Opinion: Suggestive of Galactocele with Acute Inflammation


Patient’s Name: Yasmin Amir

Age/Sex: 45Y/FM
Date: 10-07-2018
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in lower pole of right lobe of Thyroid.

Clinical Notes: Solitary thyroid nodule in center of neck for last 25yr. Now feels dyspnoeic but
no associated toxic symptoms. Cold nodule on scan. She has sporadically been taking
Neomercazole. TFT are WNL. HCV+ and has taken Tx once, now PCR positive again.
Microscopy: The smears are moderately cellular. Three dimensional sheets of follicular cells
are present, these show oblong nuclei and occasional grooves.Nuclear overlapping is also seen.
Similar cells are also seen in the background of blood mixed with scanty thick colloid.
Opinion: Suspicious Thyroid Nodule
Note : Excision biopsy is suggested for definite tissue diagnosis.

Patient’s Name: Nazmeen w/o Ishtiaq

Age/Sex: 30Y/FM
Date: 10-07-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump, UIQ,noticed 01wk back. Mobile nontender, firm and
measures 1.5cm.
present in a background of blood with many scattered bare nuclei. Cellular stromal fragments are
also seen. No evidence of maliganacy is seen.
Opinion: Fibroepithelial Lesion--- Left Breast

Suggestive of Fibroadenoma

Patient’s Name: Gh. Batool

Age/Sex: ?Y/FM
Date: 10-07-2018
Reference: Advance Lab
PAP SMEAR


Endocervical epithelial fragments are also present.
Moderate inflammation is present.
Opinion: Inflammatory Pattern Smears

Within Normal Limits

Patient’s Name: M Aslam

Age/Sex: 60Y/M
Date: 10-07-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left Parotid swelling.

Clinical Notes: USG: Swelling left angle of mandible, 54.8x42.9x61.7mm. Cystic and
peripheral echogenic texture. Complex parotid mass with prominent posterior group enlarged
LN, largest 22mm.
Microscopy: The smears comprise blood only. No epithelial or other cells are seen.
Opinion: Hemorrhagic Aspirate ----- Left Parotid
Note : The smears are inadequate for opinion , repeat FNAC is suggested.

Patient’s Name: Ansa w/o Jameel
Age/Sex: 25Y/FM
Date: 11-07-2018
Specimen: Cyst Fluid.

Clinical Notes: Recurrent ovarian cyst. Lap findings : Large left ovarian cyst, adherent to
adjacent structures, found on laparotomy, marsupulization done.
Microscopy: The smears are hypocellular with few blood formed elements in a clear
background.

Patient’s Name: Rashid Malik
Age/Sex: 35Y/M
Date: 13- 07-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC both lobes of Thyroid.

(Prepared 03 smears each on glass slides).
Clinical Notes: Diffuse thyroid swelling for last 04months. No associated toxic symptoms.
Subcentimeter nodules on USG. No nodules visible on clinical examination. Random FNAC
done.(Declined US guided FNAC)
Microscopy: The smears are moderately cellular. Macro and microfollicles of normal looking
cells are present.Few hemosiderin laden macrophages are also seen in the background of blood
mixed with thin colloid.
Opinion: Suggestive of Adenomatous Colloid Goiter


Patient’s Name: Naziran
Age/Sex: 40Y/FM
Date: 17-07-2018
Specimen: Fluid.
(About 0.5 ml of reddish fluid received)
Clinical Notes: Blood dischargefrom nipple.
Microscopy: The smears are moderately cellular with inflammatory cells , mostly lymphocytes
and other blood formed elements in thick background containing microbial colonies.
Note : Please correlate with clinical and microbial culture findings.

Patient’s Name: Orangzaib

Age/Sex: ?Y/M
Date: 17-07-2018
Reference: New Doctors Lab

(About 02ml of clear fluid received)
Microscopy: The smears are hypocellular with few lymphocyte. Rare mesothelial cell is seen
in clear background.

Patient’s Name: M Shabbir

Age/Sex: 40Y/M
Date: 18-07-2018
Reference: C R Lab
FNA CYTOLOGY REPORT

Clinical Details: Swelling supraclavicular region since 01wk. H/O increase in size. fever, pain
and dysphagia. No weightloss. Soft to firm in consistency, red and hot, measuring 5x4cm. Pus
aspirated.


Patient’s Name: Wahid Ahmed

Age/Sex: 42Y/M
Date: 20-07-2018
Reference: Accurate Lab (185830)

Microscopy: The smears are hypercellular with mostly lymphocytes and occasional neutrophil
and RBC. Mature and larger forms of the lymphocytes are seen in a clear background.

Patient’s Name: Iram

Age/Sex: 26Y/FM
Date: 27-07-2018
FNA CYTOLOGY REPORT

(Recieved 04 smears on glass slides)
Clinical Details: Left breast nontender nodule (4x3cm) involving the UOQ, noticed 10days ago.
Now increasing in size, No h/o fever or weight loss. No associated skin or nipple
changes.Breastfeeding. Milky fluid aspirated.
Microscopy : The smears are hypocellular showing foamy histiocytes in a clear background.
The latter contains few inflammatory cells too. No ductal cells are identified. Atypia, mitoses or
necrosis are not seen.
Opinion : Benign Breast Cyst – Left Side


Patient’s Name: Rukhsana

Age/Sex: 50Y/FM
Date: 27-07-2018
FNA CYTOLOGY REPORT

(Recieved 05 smears on glass slides).
Clinical Notes: Multinodular thyroid for last 20yr. No associated toxic symptoms. Measures
10x12cm.
Microscopy: The smears are hypocellular. Few clusters of follicular cells are present and few
hemosiderin laden macrophages are also seen in the background of blood. Few clusters show
oblong nuclei with cleaves and occasion inclusion like morphology. Few large nuclei are also
seen.
Opinion:Atypical Cells Seen ----- Thyroid
Note : Few clusters are suspicious for features of papillary carcinoma thyroid. However
fixation artifacts are also present. Excision is suggested for definite diagnosis.

Patient’s Name: Maryam
Age/Sex: ?Y/FM
Date: 27-07-2018
Specimen: Ascitic fluid.

Microscopy: The smears comprise blood and its formed elements. Few mesothelial cells are
also present. No atypical cell is seen.

Patient’s Name: Sultan Bibi
Age/Sex: ?Y/FM
Date: 04-08-2018

(About 30 ml of fluid with coagulum received)
Microscopy: The smears are hypercellular with lymphocyte and occasional mesothelial cell in
clear background. There are groups of large atypical cells seen with pleomorphic nuclei.
Opinion: Malignant Cells Seen
Note : No clinical information is provided, please correlate accordingly.

Patient’s Name: Maria

Age/Sex: 36Y/FM
Date: 04-08-2018
Reference: Accurate Lab
FNA CYTOLOGY REPORT
Specimen: FNAC right submandibular region.

Clinical Details: Swelling right submandibular region for 04yr. H/O increase in size. No h/o
fever, pain or weightloss. Soft to firm in consistency, measuring 3x3cm. Overlying skin is
normal.
Microscopy: The smears are hypocellular showing blood formed elements only including
neutrophils.

Note : Please correlate with clinical findings. Repeat FNAC or biopsy may be considered
in case of high clinical suspicion.

Patient’s Name: M Shafique

Age/Sex: 36Y/M
Date: 07-08-2018
Reference: HF Hospital
FNA CYTOLOGY REPORT
Specimen: FNAC neck lump.

(Prepared smears on x04 glass slides)
Clinical Notes: Swelling posterior aspect of neck for 05yrs, progressively increasing in size.
Doughy consistency measuring 6x6cm.
Microscopy:The smear are hypocellular with few tiny cohesive fragments of mature looking
adipose tissue. The background contains lipoid droplets and few lymphocytes.
Opinion: Suggestive of Lipoma --- Neck

Patient’s Name: Rab Nawaz

Age/Sex: 46Y/M
Date: 08-08-2018
Reference: SELF
FNA CYTOLOGY REPORT

Clinical Notes: Multinodular thyroid with a dominant nodule in right lobe for last several years.
Now feels dyspnoeic and obstructive symptoms but no associated toxicity. TFTs are WNL. Scan
not available.
Microscopy: The smears are hypocellular. Tiny clusters of follicular cells are present.
Numerous hemosiderin laden macrophages are also seen in the background of blood mixed with
thin colloid.

Patient’s Name: Rubab w/o Farhan

Age/Sex: 26Y/FM
Date: 10-08-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left axillary lymph node.

Clinical Details: H/O nodular swellings in left axilla, 1.5cm, mobile, nonadherant and slightly
tender. Noticed 10months ago after an episode of breast abscess during lactation.
cells are seen.
Opinion: Reactive Lymphoid Hyperplasia -- Left Axillary Lymph Node


Patient’s Name: Kianat d/o Arshad
Age/Sex: 20Y/FM
Date: 10-08-2018
FNA CYTOLOGY REPORT

Clinical Notes: Bilateral breast lumps in noticed 03months back. Mobile nontender, firm and
measure variably from 01 to 03cm. Largest subareolar (03cm)on right side was sampled.
is seen.


Patient’s Name: M Ishaq
Age/Sex: 36Y/M
Date: 10-08-2018
Reference: The Molecular Concerns
FNA CYTOLOGY REPORT
Specimen: FNAC right hand nodule.

(Received x 06 unstained smears)
Clinical Notes: Right hand nodule on lateral aspect,noticed 02months back. Measures01x1.5cm.
No h/o fever.
Microscopy: The smears are hypocellular. Few cohesive epithelial fragments are present in a
background of blood with few scattered multinucleate giant cells. No evidence of malignancy is
seen.
Opinion: Benign Nodule --- Right Hand
Note : The morphology is most suggestive of benign skin adnexal tumor/cyst, however
differential also includes Giant cell tumor of tendon sheath. Please correlate.

Patient’s Name: Bibi Jan
Age/Sex: 55Y/FM
Date: 13-08-2018
Reference: A.D.C
FNA CYTOLOGY REPORT
Specimen: FNAC pancreatic mass.

(Receivedstained smears on glass slides x 10)
Clinical Details: Obstructive jaundice due to Ca head of pancreas. ROSE: showed malignant
cells likely Ca.
Microscopy:The smears are moderately cellular. Monolayered cohesive fragments of epithelium

are present. The background comprises blood. No atypical cells are seen.
Opinion: No Atypical Cells Seen

Patient’s Name: Zaitoon Bibi

Age/Sex: ?Y/FM
Date: 15-08-2018

(About 10 ml of blood containing fluid received)
Microscopy: The smears are hypercellular with mostly lymphocytes and RBC. Mature and
larger forms of the former are seen in the protienaceous background.

Patient’s Name: Saif Ullah

Age/Sex: 32Y/M
Date: 15-08-2018
FNA CYTOLOGY REPORT
Specimen: FNAC lump back.

Clinical Notes: Lipomatous , soft nontender lump , 3x3cm. Left side of back.
Microscopy: The smears are hypocellular showing occasional fibrous stromal fragments and
blood formed elements only. No parenchymal cells or adipocytes are seen.
Note : Repeat FNAC is suggested if clinically suspicious.

Patient’s Name: Aqsha

Age/Sex: 15Y/FM
Date: 17-08-2018

(About 1.5 ml of yellow fluid received)
Microscopy: The smears are hypercellular with many cells containing vesicular and
occasionally cleaved nuclei. The background contains lymphocytes and neutrophils.
Note : Reactive mesothelial atypia cannot be ruledout. Opinion is limited by lack of clinical
information, please correlate.
Patient’s Name: Shakeela

Age/Sex: ?Y/FM
Date: 20-08-2018
Specimen: Fluid from cyst.

Clinical Notes: Ectopic pregnancy.
Microscopy: The smears are hypercellular with blood formed elements in thick protienaceous
background.
Note : Please correlate with clinical findings. Please also see report #
S- 941/2018 of the same patient.

Patient’s Name: Salma Begum
Age/Sex: 42Y/FM
Date: 28-08-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left axillary lymph node.

(Prepared unstained slides x 3)
Clinical Details: H/O nodular swelling in left axilla, 03x3.5cm, mobile, nonadherant and
nontender. Noticed 02months ago. H/O Birad IV breast lesions.
macrophages. The background contains blood. No atypical cells are seen.
Opinion: Reactive Lymphoid Hyperplasia -- Left AxillaryNode


Patient’s Name: Asma
Age/Sex: 20Y/FM
Date: 29-08-2018
Reference: RDC
FNA CYTOLOGY REPORT

Clinical Details: Swelling in submental region since 01yr. H/O increase in size. No h/o fever,
pain or weightloss. Soft to firm in consistency, measuring 3x4cm, 0.5cc of pus aspirated.
Occasional histiocyte and multinucleate giant cell is also identified. Numerous chunks of
anuclear squames are also present.

Note : Differentials include infected sebaceous cyst and thyroglossal cyst. Please correlate
with clinical/ microbial culture findings.

Patient’s Name: Shahid Mehmood
Age/Sex: 19Y/M
Date: 07-09-2018
FNA CYTOLOGY REPORT
Specimen: FNAC swelling nose.

Clinical Details: Swelling on right nasal ala for last02wks. H/O small pimple scratching
followed by this polypoid lesion. No h/o fever, pain or weightloss. Soft to firm in consistency,
measuring 1.5cm, necrotic and lobular surface.
Microscopy: The smears show sheets of viable and degenerated neutrophils. Occasional
stromal/ endothelial cell clusters are also identified.
Opinion: Consistent with Benign Lesion

Note : Morphology is most suggestive of lobular capillary hemangioma (Granuloma

pyogenicum). Please correlate with clinical findings.

Patient’s Name: Shaheen Akhter

Age/Sex: 48Y/FM
Date: 11-09-2018
PAP SMEAR


No epithelial cell abnormality is seen.
Note : This is a limited opinion due to absence of junctional zone representation.

Patient’s Name: Aziz Fatima

Age/Sex: 58Y/FM
Date: 11-09-2018
Reference: Accurate Labs(187252)
FNA CYTOLOGY REPORT

Clinical Notes: H/ofirm lump in right breast in LOQ for last 03days. Nodule measures 2x2cm.
No h/o tenderness, fever, cough, weight loss etc.Right axilla and nipple are not involved.
with high N/C ratio are also found scattered in the background of blood.


Patient’s Name: Mrs Tasleem

Age/Sex: 39Y/FM
Date: 11-09-2018
Reference: Fatima Lab
PAP SMEAR

(Received 01 unstained broken slide)
Microscopy: The smear is inadequate for reporting.

Very scanty epithelial cells are present
Opinion: Inadequate for Reporting.
Note : The smear should at least cover 10% surface of the glass slide.
Patient’s Name: Arsalan

Age/Sex: ?Y/M
Date: 11-09-2018
Reference: Self
Specimen: CSF.
Clinical Notes: Fever, vomiting, headache with alert mental status. To ruleout malignancy
Microscopy: The smears are scantily cellular with fewdegenerated mature lymphocyte and
neutrophils.

Patient’s Name: Mrs Gh Fatima
Age/Sex: 50Y/FM
Date: 13-09-2018
Specimen: About 04 ml of pale urine received.

Microscopy: The smears show mostly inflammatory cells, neutrophils mixed with few
lymphocytes and RBC. Occasional urothelial cells are also seen.
Opinion: Inflammation +
Negative for High Grade Urothelial Carcinoma

Patient’s Name: Farida
Age/Sex: 57Y/FM
Date: 14-09-2018
PAP SMEAR



Patient’s Name: Nargis

Age/Sex: 54Y/FM
Date: 17-09-2018
PAP SMEAR



Patient’s Name: Sajida

Age/Sex: 20Y/FM
Date: 18-09-2018
Reference: Molecular Lab
FNA CYTOLOGY REPORT

Clinical Notes: Bilateral breast lumps in noticed 03yrs back. Mobile nontender, firm and
measure variably from 01 to 02cm. Largest in left breast LOQ was sampled. One was removed
from right about 02yrs ago.
are present in a background of blood with manyscattered bare nuclei. No evidence of malignancy
is seen.

Note : Please note that only the nodule on left was sampled.

Patient’s Name: Rasheeda Begum

Age/Sex: 65Y/FM
Date: 18-09-2018

(About 08 ml of pale fluid received)

Microscopy: The smears are hypocellular with few inflammatory cells, predominantly
lymphocyte. Few neutrophils and occasional mesothelial cell is seen in clear background.

Patient’s Name: Mukhtar

Age/Sex: 57Y/M
Date: 18-09-2018
Reference: Molecular Lab
Specimen: Thyroid fluid for cytology.

(About 02 ml of pale fluid received)
Clinical Notes: Left lobe of thyroid for last 02yrs. No h/o pain , fever or increase in size. H/O
weight loss. About 100ml of fluid aspirated.
Microscopy: The smears are hypocellular with few inflammatory cells and mostly RBC.The
background is proteinaceous.

Note : Keeping in view the clinical information this may represent a cystic colloid nodule.
However acellular fluid may also be aspirated in Cystic Papillary thyroid Carcinoma, Clinico-
radiological correlation is suggested.

Patient’s Name: Ali Ibrahim

Age/Sex: 09Y/M
Date: 19-09-2018
Reference: SELF
FNA CYTOLOGY REPORT

Clinical Details: H/O bilateral cervical nodes (1-2cm) for last 01yr, progressively increasing in
size. H/O low grade fever. No family hx of TB.
Microscopy: The smears show a population of mature lymphocytes mostly with some
immunoblasts. Occasional large cell is seen too. Few tingible body macrophages are seen. In the
background scattered eosinophils are present.
Notes: Excision biopsy is suggested for definitetissue diagnosis.

Age/Sex: 30Y/FM
Date: 19-09-2018
Reference: SELF
PAP SMEAR



Patient’s Name: Tazeem
Age/Sex: ?Y/FM
Date: 24-09-2018
Reference: Molecular Concerns

(Received stained smears on slides x2)
Microscopy: The smears are hypocellular with few lymphocyte and occasional mesothelial cell
showing degenerative changes. The background is clear.

Patient’s Name: Fiza
Age/Sex: 45Y/FM
Date: 24-09-2018
PAP SMEAR


Endocervical epithelial fragments are not present

Patient’s Name: Ghazal w/o Hanif

Age/Sex: 40Y/FM
Date: 25-09-2018
FNA CYTOLOGY REPORT

(Prepareded stained slides x 04)
Clinical Notes: H/olarge lump in left breast on lateral side for last 05months. Nodule measures
7x6.5cm. Nipple is fixed and retracted. H/O backache. No h/o fever, cough, weight loss etc.
BIRAD V.
with high N/C ratio are also found in the background of blood.


Patient’s Name: Samia Qaiser

Age/Sex: 38Y/FM
Date: 25-09-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left axilla lump.

(Received x4 fixed unstained slides)
Clinical Notes: Swelling in left axilla for 2yrs. No h/o fever pain or weightloss. Soft swelling
2x2cm, nontender normal skin.
Microscopy:The smear is hypocellular with few mature looking adipocytes. The background
contains lipoid droplets and inflammatory cells.
Opinion: Suggestive of Adipose Tissue with Inflammation


Patient’s Name: Mahwish

Age/Sex: 09Y/FM
Date: 25-09-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right cheek lesion.

(Received fixed slides x3)
Clinical Notes: Right cheek swelling x4months. No h/o fever, pain or weight loss. Oval lump
2x2cm with normal skin.
Microscopy: The smears comprise blood and its formed elements. No atypical cell is seen.
Note : This may represent benign vascular lesion.Please correlate with clinical and
radiological findings.

Patient’s Name: Kishwar

Age/Sex: 33Y/FM
Date: 25-09-2018
Specimen: Fluid NOS for cytology.

About 05 ml of pus like fluid received
Microscopy: The smears are hypercellular with many mature and degenarated neutrophils.
Occasional lymphocyte are seen in the background.


Patient’s Name: Tasleem Anwar
Age/Sex: 28Y/FM
Date: 28-09-2018
FNA CYTOLOGY REPORT

(Received 06 smears on glass slides followed by cell block).
Clinical Notes: Enlarged thyroid for last 08months. No associated toxic symptoms. USG; MNG.
Microscopy: The smears are moderately cellular. Sheets of follicular cells are present.Few
hemosiderin laden macrophages are also seen in the background of blood mixed with thin
colloid.
Cell block is noncontributory.
Opinion:Adenomatous Colloid Nodule ----- Thyroid


Patient’s Name: Mrs Zobia Perveen
Age/Sex: 28Y/FM
Date: 28-09-2018
FNA CYTOLOGY REPORT

(Received 08 smears on glass slides followed by cell block).
Clinical Notes: Enlarged thyroid for last 01yr. Progressive increase in size for last 03months. No
associated toxic symptoms. Measure 6x4cm, nontender.
Microscopy: The smears are hypocellular. Few follicular cells are present in the background of
blood mixed with thin colloid.


Patient’s Name: Iqra d/o Rasheed
Age/Sex: 23Y/FM
Date: 27-09-2018
FNA CYTOLOGY REPORT

Clinical Notes: Bilateral breast lumpsnoticed 5-6yrs back. Right sided operated 01wk ago.
FNAC of left side 03yrs ago. Three nodules palpable on left side in periareloar region. Mobile
nontender, firm and measure variably from 02 to 03cm.Largest one in IUQ was sampled.
are present.Few fragments also show apocrine change. The background is of blood withscattered
bare nuclei. No evidence of malignancy is seen.


Patient’s Name: Hafiz Naveed Akhter

Age/Sex: 22Y/M
Date: 01-10-2018
Reference: Accurate Lab (187985)

Clinical Notes: Right pleural effusion.
Microscopy: The smears are hypercellular with mostly lymphocytes and occasional neutrophil
and RBC. Mature and larger forms of the lymphocytes are seen in a clear background.

Patient’s Name: Shahnaz

Age/Sex: 35Y/FM
Date: 01-10-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left facial growth.

(Received unstained slide x 01)
Clinical Notes: Lump in left face for 03yr. Gradually increasing in size. No associated oozing
or neuralgias.
Microscopy: The smears are hypocellular showing occasional stromal fragments and no
epithelial cells. The background comprises blood.

Patient’s Name: Mrs Ambreen Tasveer

Age/Sex: 44Y/FM
Date: 04-10-2018
FNA CYTOLOGY REPORT

(Received 06 fixed smears and a cell block).
Clinical Notes:Multinodular thyroid, cystic in left lobe for last 09months. TSH value is 0.048.
T3 and T4 are WNL. Large 5x6cm nontender nodule.
Microscopy: The smears are hypocellular. Follicular cells are not present. Many hemosiderin
laden macrophages are also seen in the background of blood mixed with thin colloid.
Cell block shows blood mixed with many hemosiderin laden macrophages.
Opinion: Suggestive of Cystic Colloid Nodule --- Thyroid


Patient’s Name: Maryam w/o Rehan

Age/Sex: 24Y/FM
Date: 04-10-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 1.5month back. Mobile nontender, firm and measures
02x 02cm, in IUQ near the areola.
are present in a background of blood with many scattered bare nuclei. No evidence of
maliganacy is seen.


Patient’s Name: Faiz Alam

Age/Sex: 70Y/M
Date: 08-10-2018

Microscopy: The smears are Moderately cellular with blood formed elements in protienaceous
background.

Patient’s Name: Aleena
Age/Sex: 18Y/FM
Date: 09-10-2018
FNA CYTOLOGY REPORT

Clinical Notes: Breast lumpnoticed 2-3wks back. Mobile nontender, firm and measures from
02x 02cm. No family H/O breast pathology.
are present in a background of blood with scattered bare nuclei. No evidence of malignancy is
seen.


Patient’s Name: Nishad
Age/Sex: 40Y/FM
Date: 09-10-2018
Reference: The Biotech Lab
FNA CYTOLOGY REPORT

Clinical Notes: Enlarged thyroid for last 20yr. No associated toxic symptoms. Now increasing
in size and causing dysphagia and difficulty in breathing. Measures 08x07cm.
Microscopy: The smears are moderately cellular. Few clusters of follicular cells are present
and few chunks of thick colloid are also seen in the background of blood. Few clusters show
papillary architecture with vesicular oblong nuclei, cleaves and occasion inclusion like
morphology.
Opinion: Suspicious Aspirate ----- Thyroid

Bethesda Category --- V (Suspicious for PTC)
Note : Few clusters are suspicious for features of papillary carcinoma thyroid. However
drying artifacts are also present. Excision is suggested for definite diagnosis.

Patient’s Name: Asma Bibi w/o Usman

Age/Sex: 35Y/FM
Date: 10-10-2018
Reference: F Lab
FNA CYTOLOGY REPORT

Clinical Notes: Breast lumpnoticed 05yr back. Mobile nontender, firm and now measures from
03x03cm. Has bourn 03 children with this and also breast fed them. Now lactating. No family
H/O breast pathology.
are present. Occasional one shows apocrine change. The background of blood contains scattered
bare nuclei. No evidence of malignancy is seen.


Patient’s Name: Humaira Nawaz

Age/Sex: 15Y/FM
Date: 11-10-2018
FNA CYTOLOGY REPORT

Clinical Notes: Breast lumpnoticed 01yr back. Mobile nontender, firm and measures from
04x03cm in upper half of breast. No associated symptoms. No family H/O breast pathology.
are present. The background of blood contains scattered bare nuclei. No evidence of malignancy
is seen.


Patient’s Name: Sadia w/o Nazeer

Age/Sex: 26Y/FM
Date: 11-10-2018
Specimen: OvarianCyst Fluid.

Clinical Notes: Ovarian cyst contents.Pus?
Microscopy: The smears are hypocellular with mostly blood formed elements. There are
occasional small clumps with cells having irregular nuclear contours. No overt sign of
malignancy is seen. The background is clear.
Note : This may represent degenerative atypia, please correlate with clinical and
radiological findings.
Patient’s Name: Areena

Age/Sex: 06Y/FM
Date: 11-10-2018
FNA CYTOLOGY REPORT

Clinical Details: Right cervical lump since 01yr. H/O increase in size. Previous FNAC was
reported to be hypocellular.
Microscopy: The smears are hypocellular with clumpedanuclear squames and amorphous
material. Occasional group of squamous cells and some keratin flakes are also identified. The
background shows few inflammatory cells.
Opinion: Benign Epithelial Cyst

Note : Morphology is suggestive of Epidermal Inclusion Cyst.Please correlate with clinical

findings.
Patient’s Name: Rubina d/o Bahadur Malik

Age/Sex: 26Y/FM
Date: 12-10-2018
FNA CYTOLOGY REPORT

(Prepared 04 smears and cytospin x1 on glass slides).
Clinical Notes:Multinodular thyroid, more so in isthmus and left lobe for last 2-3months. No
H/O associated toxic symptoms. Chocolate colored fluid 02ml aspirated.
Microscopy: The smears are moderately cellular. Small clumps of benign looking follicular
cells are present.Numerous hemosiderin laden macrophages are also seen in the background of
blood mixed with thick colloid.
Opinion: Adenomatous Colloid Nodule --- Thyroid


Patient’s Name: Taimoor Akhter
Age/Sex: 51Y/M
Date: 10-10-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right axillary lymph node.

Clinical Details: H/O nodular swellings in right axilla, 02x1.5cm, mobile, nonadherant and
tender. H/O fever (PUO) for 01month. Treated for Hep C 7yrs ago
macrophages. There are adipose tissue fragments also present. The background contains blood.
No atypical cells are seen.
Opinion: Reactive Lymphoid Hyperplasia – Right AxillaryNode


Patient’s Name: Abdul Raheem
Age/Sex: 30Y/M
Date: 15-10-2018
FNA CYTOLOGY REPORT

Clinical Details: Swelling right cervical region since 01wk. H/O increase in size. H/O fever with
rigors and pain. No weightloss. Firm in consistency, measuring 5x4cm, 4.5cc of pus aspirated.


Patient’s Name: Abdullah

Age/Sex: ?Y/M
Date: 15-10-2018
Reference: Rescue

Microscopy: The smears are moderately cellular with lymphocytes in thick protienaceous
background.

Patient’s Name: Riasat Bibi

Age/Sex: 60Y/FM
Date: 15-10-2018


Microscopy: The smears are moderately cellular with lymphocyte andfew neutrophils.
Occasional mesothelial cell is seen in clear background.

Patient’s Name: Faryal

Age/Sex: 07Y/FM
Date: 16-10-2018
Reference: F Lab
FNA CYTOLOGY REPORT
Specimen: FNAC left cervical lymph node.

Clinical Details: H/O nodular swellings in left side of neck for last 01wk. It measures 02x1.5cm,
mobile, nonadherant and nontender. H/O pustule in scalp.
macrophages. The background contains blood. No atypical cells are seen.
Opinion: Reactive Lymphoid Hyperplasia – Left CervicalNode


Patient’s Name: Saqib Ali

Age/Sex: 43Y/M
Date: 17-10-2018
Reference: F Lab
FNA CYTOLOGY REPORT

Clinical Details: Swelling right cervical region since 04months. H/O increase in size x 1month.
H/O fever fatigability and spontaneous rupture with pus discharge. No h/o weightloss. Firm to
soft in consistency, irregular, measuring 5x4cm. Small amount of pus aspirated.


Patient’s Name: M/O Muneer

Age/Sex: 50Y/FM
Date: 18-10-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lumps for last 15yrs. Increase in sizenoticed 5-6yrs and now painful
for last 03months. Mobile tender, firm and measures 10x10cm in IUQ. Overlying skin is free
with prominent veins.
Microscopy: The smears are moderately cellular. Small to medium partly dyshesive ductal
epithelial fragments are present in a background of blood. Few stromal crushed fragments are
also present showing spindle morphology.
Opinion: Fibroepithelial Lesion --- Left Breast

Suspicious for Phyllodes Tumor
Note : Excision with wide margins is suggested for definitive diagnosis.

Patient’s Name: Fareeda
Age/Sex: 45Y/FM
Date: 19-10-2018
Reference: RDC
PAP SMEAR


Opinion: Within Normal Limits (Inflammatory Pattern)

Patient’s Name: Anam Shaukat
Age/Sex: 23Y/FM
Date: 22-10-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC swelling eye lid.

(Received stained slide x 01)
Clinical Details: Swelling upper eyelid. H/O increase in size and pain. No h/o fever and
weightloss. Firm in consistency, measuring 0.6cm, fixed to epidermis. Two passes were made
and very scanty aspirate obtained.
Microscopy: The smears show few epithelial/ squamous cells and some stromal fragments.
The background contains blood.
Opinion: Suggestive of Benign Skin Adnexal Tumor


Patient’s Name: Tayyaba

Age/Sex: 20Y/FM
Date: 24-10-2018
FNA CYTOLOGY REPORT
Specimen: FNAC right axilla lump.

Clinical Notes: Right axillary lump noticed 05yr back. Now increasing in size. Mobile,
soft,nontender and measures 3x2cm.
Microscopy: The smears show cohesive smallto medium sized fragments of mature looking
Opinion: Suggestive of Lipoma --- Right Axilla.

Patient’s Name: Kalsoom

Age/Sex: 55Y/FM
Date: 26-10-2018

Microscopy: The smears are hypercellular with lymphocyte and mesothelial cell in clear
background. There are many groups of medium to large atypical cells containing pleomorphic
nuclei.
Note : No clinical information is provided, please correlate accordingly.

Patient’s Name: Nasran Bibi

Age/Sex: 50Y/FM
Date: 31-10-2018
FNA CYTOLOGY REPORT

(Received 08 smears on glass slides& Cell block)
Clinical Notes: Breast lump in left breast, noticed 10months back. Increasing in size gradually.
No h/o nipple discharge. It measures 10x10cm, slightly tender, overlying skin is red.
Microscopy: The smears are hypocellular with few fragments of atypical epithelium showing
large cells with high N/C ratio and moderate nuclear pleomorphism.Epithelial fragments are
present in a background of thick blood.
The cell block also shows few atypical cells.
Highly Suspicious Nodule --- Left Breast

Note : The smears are hypocellular however in the light of age and clinical information of
inflamed skin, Trucut biopsy is strongly suggested before embarking any major procedure.

Patient’s Name: Asya w/o M Amin

Age/Sex: 34Y/FM
Date: 26-10-2018
FNA CYTOLOGY REPORT
Specimen: FNAC of nodules in Thyroid.

(Received 04 unstained smears on glass slides).
Clinical Notes: Known thyrotoxic on neomercazole. Now c/o increase in goiter size. Scan shows
heterogenous hyper functioning nodule in left lobe and a cold nodule in right lobe.
Microscopy: The smears show small to medium sized clusters of follicular cells. These show
drying artifacts.Few hemosiderin laden macrophages are also seen in the background of blood.

Note : Side of the lobes sampled is not specified on the slides received.
Patient’s Name: Akhmat Hussain

Age/Sex: 65Y/M
Date: 29-10-2018
Reference: Asia Diagnostic Center
Specimen: Ascitic Fluid.

(About 10ml of reddish fluid received)
Microscopy: The smears are hypocellular with thick background of blood formed elements.

Note : Please correlate with clinical findings

Patient’s Name: Kauser Akhter
Age/Sex: 39Y/FM
Date: 02-11-2018
FNA CYTOLOGY REPORT
Specimen: FNAC thyroid swelling.

(Received 08 unstained glass slides & cell block)
Clinical Notes: Swelling infront of neck, for last 1-2months. H/O insomnia, weightloss,
dyspnea, dysphagia and tachycardia. CT scan shows aggressive nodule in right lobe with
massive mediastinal lymphadenopathy. Pulmonary nodule in left upper lobe is also identified.
Microscopy: The smears comprise only scantycolloid in a thick background of blood. No

follicular or any other epithelial cells are seen.
Opinion: Hemorrhagic Aspirate ----- Thyroid

Bethesda Category I (Inadequate)
indicated.

Patient’s Name: Nighat Afgan

Age/Sex: 58Y/FM
Date: 30-10-2018
FNA CYTOLOGY REPORT

Clinical Details: Left breast tender nodule (02cm) involving the subareolar region, noticed 3-
4months ago. No h/o increase in size, fever, nipple discharge or weight loss. No Family history
of breast pathology.
Microscopy : The smears are hypocellular with few tiny, cohesive fragments of ductal
epithelium seen along with many adipose tissue fragments. Atypia, mitoses or necrosis are not
identified. The background shows blood.
Opinion : Benign Breast Tissue


Patient’s Name: Ghulam Nabi

Patient’s ID: 106-6-11
Age/Sex: 33Y/M
Date: 07-11-2018
Reference: F Lab
FNA CYTOLOGY REPORT

(Prepared smears on glass slides x 4 and a cell block)
Clinical Details: H/O right thyroid swelling (2x3cm) for last 1.5months. Firm, mobile and
progressively increasing in size. No H/O associated symptoms, though appetite is increased and
sleep is reduced.
Microscopy: The smears show medium to small clusters of follicular cells are present. These
shows enlarged nuclei with overlapping and occasional cleaves. These show some drying
artifacts. In the background is formed by blood.
Cell block shows clump of cells with nuclear clearing.
Opinion: Suspicious for Malignancy
Notes : Morphological features are suggestive of PTC, Radiological correlation is

suggested.

Patient’s Name: Saira Saeed Wali

Patient’s ID : 118-5-11
Age/Sex: ?Y/FM
Lab No : CYTO : 221/18
Date: 05-11-2018
Specimen: Fluid for cytology

Clinical Notes: Ovarian cyst.

Microscopy: The smears are hypocellular with few blood formed elements and amorphous
material in a clear background.
Note : Please correlate with clinical findings. Also refer to Histopathology report # S- 1217-
2018 of the same patient.

Patient’s Name: Nighat

Age/Sex: 35Y/FM
Date: 06-11-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC of Thyroid.

Clinical Notes: Nodular thyroid swelling for last 02yrs. No associated toxic symptoms.
Multiple nodules on USG. Isthmic nodule FNAC done.
Microscopy: The smears are moderately cellular. Macro and microfollicles of normal looking
cells are present.Few hemosiderin laden macrophages are also seen in the background of blood
mixed with colloid.
Opinion: \Adenomatous Colloid Goiter


Age/Sex: 38Y/FM
Date: 06-11-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC left lobe of Thyroid.

Clinical Notes: Thyroid swelling for last 01month. H/O associated weakness. No associated
toxic symptoms. Multiple nodules on USG. Nodule visible on left side.
Microscopy: The smears are hypocellular. Occasional follicular cells of normal looking
morphology are present.Few hemosiderin laden macrophages are also seen in the background of
blood mixed with thin colloid.


Patient’s Name: Rehana
Age/Sex: ?Y/FM
Date: 07-11-2018

Microscopy: The smears are moderately cellular with mixed inflammatory cells predominantly
lymphocytes. Occasional mesothelial cell is seen in a proteinaceous background.

Patient’s Name: Saeeda Bibi
Age/Sex: 38Y/FM
Date: 09-11-2018
FNA CYTOLOGY REPORT

(Received 04 smears on glass slides & a cell block)
Clinical Details: Right breast tender nodule (7x5cm), noticed 15days ago. No h/o fever.
Breastfeeding a 02yr old child.
Microscopy : The smears are moderately cellular with many fragments of ductal epithelium.
These show abundant cytoplasm. Few foamy histiocytes and multinucleate giant cells are also
seen in a hemorrhagic background. Atypia, mitoses or necrosis are not seen.
Opinion : Benign Breast Nodule – Right Side

Note : This morphology is most suggestive of a lactation associated changes, please

correlate.

Patient’s Name: Qamar Bibi
Age/Sex: 45Y/FM
Date: 09-11-2018
Specimen: Fluid.
Clinical Notes: None available. Site NOS.
Microscopy: The smears are hypocellular with only blood formed elements with increased
mature lymphocytes in the background.
Note : Please correlate with clinical findings and site of aspiration.

Patient’s Name: Nadia

Age/Sex: 24Y/FM
Date: 12-11-2018
Reference: H.F.Hospital
FNA CYTOLOGY REPORT

Clinical Details: right breast mildly tender nodule (2x2cm) involving the LOQ, noticed 08year
ago. Now gives pain, No h/o fever or weight loss. Breastfeeding a 02month old child. Whitish
milky fluid aspirated.
Microscopy : The smears are moderately cellular with many foamy histiocytes in a
protienaceous background. The latter contains few inflammatory cells too. Few cohesive
fragments of ductal epithelium are also identified. Atypia, mitoses or necrosis are not seen.
Opinion : Benign Breast Nodule – Right Side


Patient’s Name: Sahila Bibi

Age/Sex: 26Y/FM
Date: 13-11-2018
FNA CYTOLOGY REPORT
Specimen: FNAC left axilla lump.

Clinical Notes: Swelling in left axilla for 06yr, varies in size with M/cycle. Mild tenderness. No
family h/o breast pathology.
Microscopy:The smear is hypocellular with rare cohesive tiny fragments of mature looking
adipose tissue. The background contains blood.
Opinion: Suggestive of Lipoma --- Left Axilla

Patient’s Name: Sharafat

Patients ID : 101-15-11
Age/Sex: ?Y/FM
Lab No : CYTO- 229//18
Date: 15-11-2018
Specimen: Adnexal cyst fluid.

Clinical Notes: Left Adnexal cyst.
Microscopy: The smears comprise blood and its formed elements. Occasional stromal
component and epithelial cells are also seen. No atypical cell is seen.

Note : Please correlate with histopathology report #S-1272-2018 of the same patient.

Patient’s Name: Fakhra d/o Ab Qayyum

Age/Sex: 17Y/FM
Date: 15-11-2018
Reference: Asia Lab
Specimen: Fluid from cyst for cytology.

(About 05 ml of clear yellow fluid received)
Clinical Notes: Bilateral cyts and marsupilazation.
Microscopy: The smears are hypocellular with occasional lymphocyte and degenerated cells.
Note : Please also see histopathology report # S – 1273/18 of the same patient.

Patient’s Name: Fakhra d/o Ab Qayyum
Age/Sex: 17Y/FM
Date: 15-11-2018
Reference: Asia Lab
Specimen: Peritoneal fluid.

Clinical Notes: Bilateral cystectomy and marsupilization of cysts.
Microscopy: The smears comprise blood and its formed elements. Occasional stromal
component is also seen. No atypical cell is seen.

Note : Please correlate with histopathology report #S-1271-2018 and

S-1273-2018 of the same patient.

Patient’s Name: Amir
Age/Sex: 24Y/M
Date: 16-11-2018
Reference: Social Security Hospital
FNA CYTOLOGY REPORT
Specimen: FNAC left thigh lump.

(Prepared smears on glass slides x03)
Clinical Notes: Swelling in left thigh, progressively increasing in size for last 02 months.
Similar smaller swelling on left arm.
Microscopy:The smear is moderately cellular with cohesive tiny fragments of mature looking
Opinion: Consistent with Lipoma --- Left Thigh

Patient’s Name: Kianat
Age/Sex: 17Y/FM
Date: 22-11-2018
Specimen: Cystic fluid.

Clinical Notes: Complex adnexal mass. Endometriotic cyst.
Microscopy: The smears are hypocellular with only blood formed elements like mature
lymphocytes and many hemosiderin laden macrophagesin the background with

Note : Please also see histopathology report # S-1293-2018 of the same patient.

Patient’s Name: Maqbool Bibi

Age/Sex: 40Y/FM
Date: 22-11-2018
Reference: Beacon Clinical Lab
PAP SMEAR


Endocervical epithelial fragments are present

Patient’s Name: Zafran

Age/Sex: ?Y/M
Lab No: CYTO- 235/18
Date: 23-11-2018


Microscopy: The smears are hypocellular with blood in thick protienaceous background and
occasional mesothelial cells.

Patient’s Name: Lalonai

Patients ID: 109-26-11
Age/Sex: ?Y/FM
Date: 27-11-2018
Reference: SELF
Specimen: Fluid NOS.

(About 10 ml of blood tinged fluid received)
Microscopy: The smears are hypercellular with mostly lymphocytes and RBC. Mature as well
as larger forms of the former are seen in the protienaceous background. Some also show irregular
nuclear contours.

Patient’s Name: Mr Anser Bashir

Patients ID: 110-26-11
Age/Sex: 42Y/M
Date: 27-11-2018

(About 10 ml of blood tinged fluid received)
Clinical Notes: Pleural effusion.
Microscopy: The smears are hypercellular with mostly lymphocytes and RBC. Mature as well
as larger/ activated forms of lymphocytes are seen in the protienaceous background.

Patient’s Name: Mrs Nasreen
Age/Sex: 40Y/FM
Date: 27-11-2018
FNA CYTOLOGY REPORT

(Received 07unstained smears on glass slides).
Clinical Notes: Swelling infront of neck ( thyroid nodule) for last 8-9yr. Feels dyspnoeic for
last one year but no associated toxic symptoms. Thyroid function tests are within normal limits.
MNG on USG.
Microscopy: The smears are hypocellular. Occasional tiny clumps of follicular cells are present.
Many hemosiderin laden macrophages are also seen in the background of blood mixed with thin
colloid.


Patient’s Name: Zenab w/o Shakir Ali
Age/Sex: 30Y/FM
Date: 04-12-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right breast lump, in IUQ,following spontaneous rupture of breast abscess
05months back. Mobile nontender, firm and measures 3.5x04cm.
Microscopy: The smears are hypocellular. Occasional cohesive ductal epithelial fragmentis
present in a background of blood mixed with few inflammatory cells. No evidence of
malignancy is seen.
Opinion: Benign Breast Tissue showing Inflammation


Patient’s Name: Kabsha
Age/Sex: 28Y/FM
Date: 04-12-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right axilla lump for last 01month. Mobile nontender, firm and measures
1.5x03cm. Straw colored fluid aspirated in needle butt.
Microscopy: The smears are hypocellular. Occasional cohesive ductal epithelial fragmentis
present in a background of blood mixed with few inflammatory cells and histiocytes. The
background is proteinaceous. No evidence of malignancy is seen.
Opinion: Axillary Breast Tissue showing Cystic Change


Patient’s Name: Farzana

Age/Sex: 47Y/FM
Date: 04-12-2018
FNA CYTOLOGY REPORT

Clinical Details: H/O bilateral cervical lymphadenopathy for last 01month. No history of fever
or other symptoms . Largest palpable 04cm submantle.
Microscopy: The smears show sheets atypical lymphoid cells many showing crushing as well.
These have large nuclei with open chromatin with streaking effect. The cytoplasm is negligible
and nucleoli are prominent. Afew multinucleate forms are also seen. In the background there
are similar lymphoid cell present.
Opinion: Suspicious for Lymphoproliferative Disorder -- Cervical Node
Notes : Morphology is suggestive of Nonhodgkin lymphoma. Excision biopsy with

immunohistochemistry is suggested for definite diagnosis and further categorization.

Patient’s Name: Sasi

Age/Sex: 65Y/FM
Date: 06-12-2018
FNA CYTOLOGY REPORT

Clinical Details: H/O thyroid swelling (12x10cm) of long standing. Firm, mobile and
progressively increasing in size. No H/O associated symptoms. Tremors present(senile/
pinrolling)
Microscopy: The smears are hypocellular. Afew clusters of inflammatory cells are also
identified. There are few scattered cells withlarge vesicular nuclei also present. These show rare
membrane irregularity too. In the background colloid, histiocytes and calcific spherules are also
present.
Notes : Morphology is suspicious of PTC nuclear features, however opinion is limited due
to hypocellularity. Excision is suggested.

Patient’s Name: Gohar Bano

Patient’s ID: 103- 07-12
Age/Sex: 68Y/FM
Date: 07-12-2018

(About 30 ml of fluid with coagulum received)
Microscopy: The smears are hypercellular with lymphocyte and occasional mesothelial cell in
clear background. There are groups of large atypical cells seen with pleomorphic nuclei
exhibiting nuclear membrane.

ADDENDUM REPORT:Dated 19-12-2018

Slides were reviewed in the light of the histopathology report and the opinion is revised;
ATYPICAL CELLS SEEN
This may represent follicular cells found in the ovarian tumor.

Patient’s Name: Rubina

Age/Sex: 50Y/FM
Date: 10-12-2018
Reference: MCL

(About 03ml of green tinged fluid received)
Microscopy: The smears are hypocellular with few degenerated cells in an

amorphousbackground.
Note : The appearance is of a degenerated sample, please correlate.

Patient’s Name: Bushe

Age/Sex: ?Y/FM
Date: 10-12-2018
PAP SMEAR


Moderate inflammation is seen.
Opinion: Inflammatory Pattern
Note : Treat inflammation and then repeat.

Patient’s Name: Rehmat ullah

Age/Sex: 30Y/M
Date: 12-12-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: Right leg swelling FNAC.

(Prepared smears on glass slides x04)
Clinical Notes: Hard lump on upper right leg following a trauma about 6yrs ago. MRI shows
calcified nodule separate from bone in soft tissue. OE; 3x4cm hard tender lump below right
fibula head.
Microscopy: The smears comprise blood and its formed elements. No atypical cell is seen.


Patient’s Name: Akhter Begum
Age/Sex: 14Y/FM
Date: 13-12-2018
FNA CYTOLOGY REPORT

Clinical Notes: Right axillary lump noticed 01yr back. Now increasing in size. Mobile,
soft,nontender and measures 5x5cm. No nipple discharge or association with M/cycle.
Microscopy: The smears show few cohesive small sized fragments of mature looking adipose
tissue. The background contains lipoid droplets and blood.
Opinion: Suggestive of Lipoma --- Right Axilla.

Patient’s Name: Natko Bibi

Age/Sex: 40Y/FM
Date: 12-12-2018
Reference: SELF
FNA CYTOLOGY REPORT
Specimen: FNAC nodule in center of neck.

Clinical Notes: Thyroid coldnodule in isthmus for last 04months. Feels dyspnoeic but no
associated toxic symptoms.Para10 with7 alive issues, LCB 04yrs.
Microscopy: The smears are moderately cellular. There are cellswith enlarged nuclei. Clusters
of cells are also identified with overlapping and occasional grooves. Vague papillary forms are
also seen. In the background blood formed elements are seen.
Notes : Suspicious for morphological features of papillary carcinoma thyroid. Clinico-

radiological correlation is suggested.

Patient’s Name: Rubab

Age/Sex: 28Y/FM
Date: 13-12-2018
FNA CYTOLOGY REPORT

Clinical Notes: Left breast lump noticed 01wk back. Mobile nontender, firm and measures 1-
2cm. No axillary involvement. Family h/o Ca breast- mother.
is seen.


Patient’s Name: Mehboob Khan

Age/Sex: 55Y/M
Date: 17-12-2018

About 02 ml of clear fluid received

Microscopy: The smears are hypocellular withfewlymphocytes and neutrophils. Occasional
mesothelial cells are seen in the background.

Patient’s Name: Gulfareen w/o Zahoor

Age/Sex: 37Y/FM
Date: 17-12-2018
Specimen: Fluid from peritoneal cavity cytology.

(Smears x 2 on glass slides for review)
Clinical Notes: Bilateral cysts and hystrectomy.
Microscopy: The smears are hypocellular with occasional lymphocyte and degenerated cells.
Note : The sample is degenerated, thus the opinion is limited. Please also see histopathology
report # S – 1385/18 of the same patient.
Patient’s Name: Zafreen

Age/Sex: 30Y/FM
Date: 18-12-2018
FNA CYTOLOGY REPORT

(Received 10 unstained smears)
Clinical Notes: Left breast lump noticed 3months back. Mobile nontender, firm and measure
variably from 1.5cm in outer lower quadrant. No nipple or axillary involvement.
present. In a background of blood scattered bare nuclei and many histiocytes are present . No
evidence of malignancy is seen.
Opinion: Benign Breast Nodule

Note : Differentials include fibroadenoma and galactocele, please correlate.

Patient’s Name: Kiran
Age/Sex: 34Y/FM
Date: 19-12-2018
Reference: SELF
FNA CYTOLOGY REPORT

Clinical Notes: Breast lump in IUQ on rightside, noticed some time ago. Now pregnant
02months and wanted checkup. Mobile nontender, firm and measures 02cm.
are present in a background of blood with many scattered bare nuclei. No evidence of
malignancy is seen.


Patient’s Name: Muzamil Khatoon
Age/Sex: 45Y/FM
Date: 19-12-2018
FNA CYTOLOGY REPORT

Clinical Notes: Breast lump in LOQ, periareolar on rightside, noticed 05months back. Mobile
nontender, firm and measures 02cm. No associated symptoms.
present in a background of blood with many scattered bare nuclei. No evidence of malignancy is
seen.
Opinion: Benign Breast Nodule --- Right Breast



The smears are scantily cellular with fewdegenerated mature lymphocyte in an amorphous
background..
Zeilnelson Stain : No AFB seen.
About 06 ml of dark brown tinged fluid received
None given.
The sections show fibrin clots and necrotic/ inflamed tissue fragments. Scanty fragments of
decidualized stroma / cytotrophoblast are also present. There is no evidence of atypia or
malignancy.
The specimen consists of dark brown fragments measuring 0.5x1x0.5cm, entirely embedded as such, in
one cassette.
Suggestive of Decidualized Tissue showing Necrosis

Note : In the light of raised serum beta hCG levels trophoblastic disease cannot be
excluded. Please also check for hormone producing neoplasm in ovary.

2018 Cyto

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The smears show mostly lymphoid cells in the background of blood.

Notes : Opinion is limited due to artifacts. Focally histiocytic collection is seen.

Opinion: No Malignant Cell Seen

Note : Please correlate with clinical findings and site of aspiration

Reported by Dr Asna Haroon Khan

Patient’s Name: Kainat

Specimen: FNAC swelling neck.

Opinion: Suggestive of Epidermal Inclusion Cyst

Note : Please correlate with clinical findings.

Report by Dr Asna Haroon Khan

Patient’s Name: Fouzia

Report by Dr Asna Haroon Khan

Patient’s Name: F/O M Kazim

URINE CYTOLOGY REPORT

Specimen: About 10 ml of clear urine received .

Clinical Notes: Urine for cytology.

Opinion: Acute Inflammation ++

Reported by Dr Asna Haroon Khan

Patient’s Name: Ayesha

FNA CYTOLOGY REPORT

Specimen: FNAC swelling neck.

Opinion: Consistent with Abscess -- Neck

Report by Dr Asna Haroon Khan

Patient’s Name: Abdul Karim

FLUID CYTOLOGY REPORT

Specimen: Pleural Fluid.

Clinical Notes: None available

Opinion: No Malignant Cell Seen

Note : Please correlate with clinical findings nd site of aspiration

Reported by Dr Asna Haroon Khan

FNA CYTOLOGY REPORT

Specimen: FNAC right Breast lump.

Opinion: Fibroadenoma --- Right Breast

Note : Please note that the largest nodule was sampled.

Reported by Dr Asna Haroon Khan

FNA CYTOLOGY REPORT

Specimen: FNAC left submandibular lymph node.

Opinion: Reactive Lymphoid Hyperplasia -- Left Submandibular Node

Report by Dr Asna Haroon Khan

Chronic Caseating Granulomatous Inflammation

FNA CYTOLOGY REPORT

Specimen: FNAC lump left Breast.

Opinion: Inadequate for Reporting

Reported by Dr Asna Haroon Khan

Patient’s Name: Mohammad Riaz

FNA CYTOLOGY REPORT

Specimen: FNAC of swelling at Right angle of jaw.

Opinion : Most suggestive of Benign Mixed Salivary Gland Tumor

Reported by Dr. Asna Haroon Khan

Name: Afraz Ahmed

FNA CYTOLOGY REPORT

Specimen: FNAC posterior cervical nodes.

Opinion: Acute Lymphadenitis

Note : Repeat FNAC / Biopsy is suggested if nodes persist after treatment.

Report by Dr Asna Haroon Khan

Patient’s Name: Raz Bibi

FLUID CYTOLOGY REPORT

Specimen: Fluid from cyst for cytology.

Clinical Notes: Emergency laparotomy for ectopic tubal pregnancy.

Reported by Dr Asna Haroon Khan

Patient’s Name: Tahira Shaheen

FNA CYTOLOGY REPORT

Specimen: FNAC of swelling at Left angle of jaw.